We will morph into a single Payer health Care system as an eventuality....but it will not happen in one fell swoop....
It is really that simple....and even Dr. Dean understands this well, as he stated on February 24th on television.
DEAN: Barack Obama`s health care bill actually does that. It`s a very, very good bill.
And the reason it`s a good bill is...
(CROSSTALK)
MATTHEWS: He has a bill?
DEAN: Yes, he has a bill. He talked about it in the campaign. I have not actually seen a written bill, but I know he has got a plan and he had it in the campaign.
I have been doing this since `78 or something, when I was a medical student, chasing around Ted Kennedy and Jacob Javits. This is the best one I have seen. And the reason is, the change comes at the pace the American people are comfortable with it.
The bottom line, to make a very complicated subject simple, is, if you have no insurance or you work for a small business, you get to choose, just like the Congress people do, from maybe 15 insurance companies. One of those insurance companies is essentially Medicare. It`s a public entity.
If Americans can do that, they will change the health care system at the pace they`re comfortable changing it. And that -- if that bill passes, he has succeeded in restructuring health care.
MATTHEWS: Won`t everybody choose Medicare?
DEAN: Not everybody will choose Medicare. But a lot of people will, which is why the health insurance industry..
MATTHEWS: People love Medicare.
DEAN: People love Medicare. It works.
MATTHEWS: Yes.
DEAN: And it`s -- a lot of people will choose it. It is the solution for the car companies, for example, to get the retiree health care costs for -- 55 -- if you retire at 55, which many autoworkers do, they have 10 years with no government benefits of any kind.
The companies pick that up. It`s one of the reasons they`re in trouble financially. You could do a lot for small business and American business by enacting Barack Obama`s plan for universal health care. And the American people will be completely comfortable with it, because there`s -- all we are doing is rearranging the options that people already have. We`re not introducing any new options.
There`s nothing they have to understand that`s different or complicated or "Harry and Louise"-like...
(CROSSTALK)
MATTHEWS: Yes. Well, look, this country has got 40 million, 50 million people out there that don`t have health insurance.
DEAN: Right.
MATTHEWS: They have got to go the emergency rooms.
If Barack Obama is successful, will he be able to fix that problem, so they don`t have to go to emergency rooms anymore?
DEAN: Yes.
MATTHEWS: They will have a doctor?
DEAN: You will have a doctor, because, if you`re on Medicare, if you choose that option, you will have a doctor. And you don`t have to choose that option. The...
(CROSSTALK)
MATTHEWS: OK. We haven`t been able to do this in good times.
DEAN: Right.
MATTHEWS: We haven`t been able to do this, Republican, Democrats. It`s just not gotten solved. Why do you think we can solve it during the worst economic crisis we have had since the `30s?
DEAN: Because it is the worst economic crisis we have had since the `30s.
People finally get this. The business community has been really in trouble for years over this particular issue.
MATTHEWS: Yes.
DEAN: And, finally, they can`t afford it anymore.
Because we`re in terrible economic times, the large number -- a large number of middle-class people are either losing the health insurance or know somebody who is.
MATTHEWS: OK.
DEAN: Small businesses get bailed out by this.
(CROSSTALK)
MATTHEWS: OK. Give me hope.
You have got Mitt Romney up in Massachusetts. He wasn`t much of a politician, but he did get through some health care plan. Schwarzenegger had some problems in California, another Republican who has got a health care plan.
Can you put together their modicum of success and progress with the fact that businesspeople, like the Chamber, Tom Donohue, people like that, I assume are for health care, and pharma people, people like that, the insurance companies, the health companies, the pharmaceutical companies, can you put it together politically, so it`s actually going to happen, for once?
DEAN: You can`t put it together without making some enemies.
In this case, the enemies will be health insurance companies, because when you can choose Medicare, they don`t like that.
MATTHEWS: Yes.
DEAN: But the truth of the matter is, you want to maximize the American people`s choice.
MATTHEWS: Can they beat you?
DEAN: We are going to find out.
Bipartisanship sometimes means putting together new coalitions. We would like the Republicans to support Barack Obama`s bill.
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