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Here's a selection of what some of the Presidents responding to this Executive Decision said:



Option A: Code Name "Lyndon"

President Chris Goodwin, Independent:

Single-payer is the best health care reform option out there. It will not only provide universal and comprehensive coverage, but according to numerous studies, including the GAO, it will save money. Single-payer will also give the health care consumer a very important right that is rapidly disappearing under the "managed competition" model, the right to choose any doctor or hospital you want.

President Dave Daggett, Independent:

The decision was easy. Freedom and Equality have allowed the creation of the great things in America, not Profit. America does not need the profit motive to have the greatest medical system in the world. It takes citizens with the freedom and equal opportunity to make informed decisions on how to efficiently use our government as the national insurance company, and to continue as ethical doctors and scientists to uncover the mysteries of medicine.

President Erich Walrath, Other:

The fact is that the single payer system is now tried and true. A quick survey of every other industrial nation should provide more then enough evidence re: general satisfaction, universal coverage, and cost effectiveness, (particularly as compared to our current system.) None of the other options has been tested other then option E, (by a certain industrial nation during the '40's - with less then universal satisfaction), and would likely raise expectations and, ultimately, frustration. Damn the political torpedos - be remembered for something beneficial and tangible!

President Curry Guinn, Democrat:

Although I fully support the single-payer system, I believe the current Administratin, the Congress, and the mood of the Nation will prevent its enactment in the near future. However, given the aging of America, the growing inequity between the rich and the poor, the runaway costs of health care, and the rapacious greed of insurance companines, a single-payer system is inevitable. In the mean time we will have to settle for inadequate "stop-gap" measures as represented by the Kennedy-Kassebaum plan.

President Teresa De Paola, Republican:

I think the American health care providers are certainly the best in the world and I don't argue too much with the prices they charge but shouldn't prevention (of things like premature babies and cancer and AIDS) be more important and receive more funding than dealing with things after the fact? If we could prevent most things from happening with proper prenatal care, counselling and other personal, relatively cheaper services, it wouldn't be so bad when we have to dish out millions for a few of those technologically superior ones. I'm not really too thrilled with any of these options. I'd like to see insurance companies disappear altogether and have all Americans be able to afford most medical services on their own. But, hey, I guess we can't have that, can we?

President Gary Boatwright, Independent:

This was an easy decision. Single payer health care is the most efficient and effective method of providing quality health care to every American citizen. The "socialized medicine" scare is not a rational argument against single payer health care. It is an extremely effective public relations tactic for insurance companies and health care providers whose profits depend on current high cost free market principles that exclude an increasingly high percentage of American citizens. No method of providing health care will allow America to evade for long the difficult ethical decisions created by medical technology. We cannot afford to continue devoting in excess of 60% of our health care dollars to the last six months of life.

President David Choweller, Unregistered:

The decision wasn't a hard one. I have a father who is refused insurance because of a "pre-existing" condition of high blood-pressure. A single payer plan is best for this country, but maybe not for its rapacious corporations. My favorite candidate in this election does not exist. (S)he would never be able to rise in the ranks of any existing parties to ever be a candidate for political office. By the time anyone gets to this stage, they've completely sold their soul to the system.

President Ted Alexander, Independent:

Not a hard choice to make. The advantages of a single-payer system are obvious - universal, unbureaucratic, cheaper than any other option. Definitely the most humane option. People seem to recoil from such an option when they say taxes will need to go up. I've never understood this. If you pay money to private business and call it a premium or pay the same amount to a government established health plan and call it a tax what difference is there. A hundred dollars out of your pocket is a hundred dollars out of your pocket. What's important is what you get for that hundred dollars. As far as the candidates are concerned I can't see Dole or Clinton embracing single-payer although I think there is or could be a significant amount of support out there for it. Polls consistently show 60-70% support for single-payer when its properly explained to people what it is. Also, I've thought that quite a few large corporations would support having a single-payer health system. Surely, GM has an interest in relieving themselves of the responsibility providing health benefits to their workers and concentrate more on the business of building cars.

President Susan Prince, Democrat:

100 years from now, the decision to move from the current fragmented, confusing and expensive U.S. health care system to a single-payer system will appear obvious.

Ask the classic legal question about the current health care system -- "cui bono," or "to whose advantage?" The answer? Primarily, the health care insurance industry. If one examines the potential saving gained by eliminating the tariff on our health care system imposed by sustaining that industry, it's easy to see the source of the smoke obscuring public discussion of this topic.

Anyone who's had to deal with a large health insurance company on an issue of coverage knows full well there's nothing to choose between that experience and dealing with any other large bureaucracy. A single-payer system operated by the federal government could be designed to be accountable to the taxpayer/end user, rather than the shareholder and board of directors. There is certainly room for profit-making in the health care industry, for those actively involved in developing and providing treatments, devices and services -- but not through the unnecessary mechanism of providing health care insurance.

Rather than simply lament the passing of the "family-doctor days," or place faith in a clearly-flawed marketplace system, it's time to move boldly toward a new health care model, where doctors and patients again interact directly -- and a single-payer system manages health care resources efficiently, and demonstrably in the public interest.


Option B: Code Name "Hillary"

President Joseph M. Hart, Democrat:

This is not an easy decision for the best of minds, and for all the medical society, these decisions are best left to a referendum or inititive process because the powers to be will never touch them, they're too political.

President George P. Stoddard, Democrat:

I think the "Hillary" may be best but it should include a provision for the recipient of services to have to pay some fair out of pocket cost for the services. This would put more pressure on costs and fees and add some small competitive feature. The plan may have to be implemented incrementally.

President Alan P. Felton, Democrat:

Managed care is the only sensible solution because it holds down costs while providing virtually universal coverage. Other solutions work, but only in the short term. Employer mandates will work in favor of the businesses that pay up by helping to provide a healthier, more stable work force. One other aid to the health care problem is to encourage medical students and schools to cut back on training specialists and put out more general practioners, and encourage these new doctors to practice in rural and poor urban areas. By increasing the number of general practioners, preventive health care will rise, thus causing a drop in long term health care costs.

President Marc Rubin , Democrat:

If we aren't going to get plan A/B/C now we should certainly get Dr. Jack. I want the same quality of medical care that Bob Dole has had all his adult life and I want it from the same source. If we aren't going to get health care reform now lets have a referendum to end all medical care for elected federal officials. They can rejoin at their own expense if and when they institue a new plan. The system we have now only works for them. We will get rid of it when it stops working for them, and not before.


Option C: Code Name "Teddy"

President Bruno Freitas, Democrat:

The general, the American public is afraid of radical change. The "TEDDY" plan simultaneously offers security and reform without evoking the fear of big government and increased taxes.

President Shelley Arnold, Democrat:

I am a person who had preexisting conditions that made our premiums astronomical. Before I went back to work (I was a stay at home Mom), our premiums alone were $12,000 yearly, my family's were $4000, and mine was $8000. Now that I'm employed and insured in a group plan I, unless things change, will never be able to quit. I must stay with this job forever as I will not be able to get insurance. I had been turned down for insurance before in an attempt to find less costly rates. I am not the only person with this particular problem. I've become Democrat because of this. My husband is an attorney. I have a Masters and work at a university. If this is causing us financial worry, what about all the people less fortunate than us. Yes, I would say this is still a very important issue.

President Charles H. Riggs, III, Other:

I chose Option Teddy, moderate insurance reform. It is not that I do not recognize that this country must eventually embrace universal coverage if it is ever to get control of the rampant cost-shifting driving up the nation's medical costs. But the fact of the matter is that our country has no experience with universal coverage, and a currently uncontrollable prejudice against anything which casts the Federal Government in any sort of central coordinating role. Meanwhile people are losing their health insurance and their quality of life is being severely impacted.

Since politically it is impossible and therefore a waste of time to push for a private-sector based form of universal health care coordinated by the government at both the federal and state level, as in the Clinton plan (let alone a single-payer system, with the payer being the Federal government), the only morally effective step is to move in a politically viable direction to alleviate injustice. Obviously eventually reality will catch up with us, as it has caught up with industrial democracies from Canada to Germany, and we WILL implement some form of universal coverage, probably along the lines of George Mitchell's plan offered in the summer of 94, which did not implement guaranteed universal coverage, but a delayed system of soft-triggered employer mandates if 95% coverage had not been achieved by a certain date.

But in the meantime those who really want to do a little good, as opposed to pushing for unattainable perfection, have no choice but to fight, and fight vigorously, for that option which the spiritual leader in the fight for universal health care, Ted Kennedy, has acknowledged is the only realistic course for now. The other more universal options will have to wait for a time when people have more faith in the good intentions and the competence of our government. The latter will not occur until other issues have been satisfactorily addressed, like the obscene role of big money in politics, the irresponsible squandering we are guilty of with our children's patrimony, and the subsequent piling-on of a hideous mountain of debt, etc. etc.

In the meantime, until the people's faith shall have been restored in the legitimacy of our democractic form of government, one must set about to accomplish that which can be envisioned realistically, however much one's universalist principles may be violated.

President Rick Zabell, Independent:

Trouble with "Lyndon" is that younger folks are subsidizing Medicare now. Giving them Medicare benefits would be best way to deliver the benefits, but who's left to pay? The "Hillary" plan, I thought, made a lot of sense when it first was introduced, but as arguments were made against it, I began to worry that it might have a lot of negative unintended consequences. Therefore, I prefer the "Teddy" plan to correct a couple of the most obvious problems with the present system first, and then perhaps we should look at other reform possibilities later on.

President Charles W. Rogers, Republican:

People have got to stop asking the government to help. The government bought $250.00 toilet seats and hammers with your tax dollars at a mark up of about 1000%. Now you want them to handle your health insurance because the price is too expensive. You honestly can't beleive that the government will save you a cent. Even if they could, what in God's name makes you think they would give it back to you? You would have better odds of pulling raw meat from a frenzied pack of hyenas. You get the Government involved and you take Freedom out of America and replace it with Dictatorship. But hey it's your Country; you want my Jack Booted Thugs to run it for you? They will and in many cases already are....

President Michael Liguori, Democrat:

This was a difficult decision (wait around a couple minutes, I'll probably change my mind again). I feel that it is important that everyone has coverage and that health-care costs be brought under control. The Hillary decision would seem like an obvious one. Two things hold me back:

1. Government programs predictably cause different outcomes than were predicted. This program is so different and complex, it scared people at a distant glance. What would it do if let loose?

2. This is the type of program that you can not scale back, without causing huge problems. So we better be sure it is going to work.

So I have chosen to reform insurance and try to fill some holes in the current system.


Option D: Code Name "Rush"

President Bob Warwick, Independent:

Option D is a start. If we really want to reduce costs, however, we must adopt more of a market-based approach -- one in which the user of medical services pays his own costs.

Except for the historical quirk resulting from tax policy during World War II that taxed employers if they paid market wages directly but not if they paid them indirectly in the form of medical insurance, there is no reason that medical care should be tied to employment. Indeed, if the same people who use medical care had to pay doctors' bills and insurance premiums they would use medical care more judiciously.

Additionally, insurance policies sold directly to consumers would have to take into account the needs of individual purchasers (just as cars, clothing, food and just about every other consumer good must) rather than the "one size fits all" approach provided by employers. This would improve quality while controlling cost.

President Chris Garver, Republican:

The problem is one of education. We have to make the public understand first that medical care should be a budget item the same as food, clothing and shelter and second that they're ultimately paying for "employer paid" medical care and aren't necessarily getting a very good deal.

The government needs to give the people credit for intelligence. We are all capable of making decisions and the government doesn't always have to be subsidizing us. We were self-sufficient for years before the government started playing parent. We can--and should--be taking care of ourselves and our families now and in the future.

President R.C. Alexander, Republican:

Tell me one thing you get from the government that you would pay more for. That goes for health care. Look at it. Paper is killing the system. Funny thing happened when they deregulated natural gas. There was more of it. Get the government out of health care and the problem will take care of itself...

President David E. Nowicki, Republican:

Financial resources at risk will always motivate people to be careful and well informed consumers of medical care. When someone else is paying the bills, there is little incentive for individual responsibility. Medical savings accounts and high deductables for those who can afford it, subsidies for those who can't - htis is the skeleton of a plan.

When the American public gives up its decision making to MBA's, our society will be faced with "value of life" issues. These ethical concerns are far beyond our society's demonstrated tolerance for discussion of profoundly complex principle-based issues.

President John Negley, Republican:

I like the idea of having money saved for future medical expenses. If you are young and healthy you can have the money saved for a time when you really need it.

President Ron Bouterse, Independent:

The common thread among all your options is that there isn't a single solution that will fix all the problems. I like the idea of the health care spending account, but is it a solution to the entire health care problem? Of course, not. Let's not try to make a perfect system in one major change (the fatal flaw of the Hillary option), but let's make some sensible changes (spending accounts, free market bidding, govt payments to HMOs who will then taken on those without insurance, etc.) and see how those work. The problem has arisen over the last 25 years so it may take several years to turn it around.

President Linda Nicholson, Independent:

It is not the responsibility of the government, Federal, State or Local, to provide me with health care or the funds to pay for it. Those responsibilities are mine. The government's role, if it has one, is to create or protect an economic environment which allows me the opportunity to provide for my own needs. Lower my taxes so that I can keep more of my income, and allow me to use tax shelters such as Medical IRA's, and I can pay my medical bills without relying on government programs.

President Chris Randolph, Republican:

This option is the best because it help to establish self- responsibility. In this day and age everyone is saying "What can the government do for me?" As my parents taught me, one must take responsibility for one's actions. If you know as you age your health care costs will rise and do not save for it, you should pay the consequences. The government should have to pick up the slack for your irresponsibility.


Option E: Code Name "Dr. Jack"

President Roger Locke, Independent:

A Dr. Jack plan, if properly written, could be a boon to both the sorely afflicted and to those paying the absurd medical costs for the last few months of life.

President David Cooper, Independent:

Dr. Jack is the most American of all the options. Those who have terrible suffering should be allowed to choose to end it. All the "universal" plans tend to ration health care.

President F. Gary Knapp, Democrat:

Sadly, I can't find my view on this issue represented by any candidate or any of your policy options. I would prefer to GREATLY reduce the role of government in personal decisions like many types of healthcare decisions. I would divide vaccinations and (b) those that treat private health issues, i.e. like cancer and obesity. I would create something like a single payor plan to handle the public health issues and something between a free market and a "Hillary" proposal to handle private health issues. This clearly has a downside -- I will bear the full costs of how my genetic bad luck and my bad habits affect my health. If I am poor I may not be able to purchase a coronary bypass or have life extending procedures in old age. But I like this better than everybody pays for everybody's health problems. The government has a clear interest in controlling infectious diseases like tuberculosis, AIDS, rubella, etc. Even if these result from the irresponsible behaviors of individuals, the fact that they can be communicated to others makes this a public concern.


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