CQ TODAY ONLINE NEWS
Aug. 4, 2009 – 12:16 a.m.
Health Care Message Gets West Wing Tune-up
By Adriel Bettelheim, CQ Staff
After a couple of largely fruitless months talking up how retooling health care will squeeze hundreds of billions of dollars of savings from a broken system, the White House is recalibrating its message and emphasizing consumer-friendly aspects.
Beginning Wednesday with a return trip to economically devastated Elkhart, Ind., the president and his proxies will launch a monthlong blitz of town hall meetings, grass-roots lobbying and television advertising designed to rally public support for quick votes on health plans in the House and Senate following the August congressional recess.
A September address to a joint session of Congress may even be in the offing, to add an element of drama and urgency, according to Democratic officials.
Central to the pitch is explaining how “health insurance reform,” as the White House now refers to the effort, will actually create a better system and improve people’s lives. The president offered a preview during appearances in Charlotte, N.C. and Bristol, Va., last week, by outlining a series of consumer-protection measures aimed at curbing some less-savory insurance company practices, such as dropping coverage for individuals who become seriously ill or charging unlimited out-of-pocket expenses.
Obama’s central goal remains expanding coverage to the estimated 47 million Americans who currently lack it and bringing down long-term costs because the growth in Medicare and Medicaid spending threatens to swamp the federal budget in coming years.
But Democratic consultants say to prevail, he must firmly fix in people’s minds what is at stake in the health overhaul debate — and explain what working-class voters could lose if the status quo is maintained.
“Not only are people worried about losing their jobs but they’re very worried about being denied coverage for pre-existing conditions, fighting with an insurance company about getting coverage, staying on the phone not being able to talk to a person for two hours,” said Democratic pollster Celinda Lake. “The notion of control, stability and peace of mind are very salient concerns to most of America.”
Though polls suggest Americans believe fixing the health system is more important than ever, the administration hasn’t elicited much passion for its effort. In fact, Obama’s approval ratings on health care have been steadily falling.
The difficulty in rallying support is partly due to the complexity of the subject and the White House’s insistence on stressingabstract cost controls in order to address the cost of retooling the system, variously estimated at around $1 trillion.
What’s more, the administration is not promoting its own solution but pinning its hopes on bills in the House (
As a result, experts say, Obama is struggling to find a coherent message while his Republican critics ridicule the administration’s efforts as big government meddling in personal health decisions.
“It’s a real challenge to on one hand stress how people’s existing relationships with doctors and health plans won’t change if they’re satisfied with them, and at the same time stress how important it is to change the system to stop the trajectory in health spending,” said Mark McClellan, a former Medicare administrator and FDA commissioner in the administration of George W. Bush .
The administration’s August message “is more about fearing things will go wrong if they don’t do reform, while the critics will talk about the risks if they do it,” McClellan said.
Though an overwhelming majority of Americans support expanding health care coverage, polling suggests that growing numbers of voters believe an overhaul will leave them worse off.
Kaiser Family Foundation tracking polls found the percentage of respondents who believe they will be negatively impacted if a plan is enacted doubled from February to July, to 21 percent.
A Pew Research Center survey of 1,506 adults from July 22-26 found that while the majority have generally negative reactions to the plans being bandied in Congress, there is broad support for core elements, such as requiring most Americans to have health insurance, or requiring employers who do not provide insurance to pay into a government health care fund.
Obama and his team will try to sync up public’s expectations and personal experiences with the technical debate underway in Congress, according to administration officials.
In an August swing through several Western states, Obama is likely to emphasize how the current health insurance system imposes cumbersome administrative burdens to doctors, nurses and patients. As he did last week, he is likely to promote an eight-point package of insurance regulations that includes prohibitions on annual or lifetime caps on coverage and requirements that insurers cover routine checkups and preventive screenings.
“What the president takes from these polls is that we have to continue to redouble our efforts to ensure that people are getting all the information that they need to make a conclusion about the fact that this will help families with insurance,” White House press secretary Robert Gibbs said Monday.
The president’s message will be amplified by interest groups backing an overhaul including the powerful seniors lobby AARP, the American Nurses Association and a host of like-minded lawmakers.
The liberal interest group Americans United for Change unveiled a 30-second TV ad on Monday casting congressional Republicans as defenders of the status quo who are content to continue enriching insurance companies.
But Republicans already are mobilizing to counter the effort with messages of their own, including a new one-minute Web video portraying Obama’s effort as a government takeover of health care that will leave bureaucrats in charge of making important medical decisions.
For all the talk about takeovers or “socialism,” experts say few Americans have actually focused on the details of the overhaul plans. That gives Obama an opening to recast the debate and dwell on matters beyond simply how to pay for an overhaul.
“The Washington debate over health care reform remains distant from the rich, personal experiences that Americans have with the health care system and health insurance,” public opinion expert Mark Blumenthal opined on his Web site, pollster.com. “To sell this plan, the Obama administration needs to move the focus of its message ... to a clean, simple message about the benefits of reform.”




Comments
According to the scoring of CBO on the prevention & wellness program, all fitness centers around the world should close down immediately. Immune System & Levee System : All of the excellent health systems seem to have one thing in common, a well-organized, systematic preventative program. I think a prevention system works as a 'levee' built against flood by the government, similarly, it also needs non-profit investments from the government 'on a large scale'. This might offer us the clue of why all of the free states have public insurance policy in place. It won't be easy to draw some specific numbers on the economic effect of the 'levee' , but the flood measure lacking a stable 'levee' would be a house on sand, as the too high level of 'preventable' chronic diseases in America shows. At present, about 75 percent of each health dollar goes to treating chronic conditions. When tests reveal patients are at risk of a chronic disease, physicians have no benefit to help them make necessary changes to stay healthy. Rather, the system today is designed around treating patients once they become sick. If current health care system could shift a small percentage of total spending into programs that help prevent people from getting sick in the first place, it would dramatically reduce the overall cost of care. Thankfully, the health care reform bill currently before Congress makes several key investments in preventive care, and those pieces of the PUBLIC OPTION must be maintained. "An ounce of prevention is worth a pound of cure.", said Benjamin Franklin , and 'Early Detection' goes beyond monetary value as we see the recent case. As far as I'm concerned, the congress affected by the special interests has impeded the budget request for prevention program in Medicare & Medicaid. Thank You !
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