Obama's promises, vision to collide with reality
By JIM DRINKARD
Associated Press
November 5, 2008
Page 2 of 3
HEALTH CARE
The promise: Increase the number of people with health insurance by having the government subsidize the cost of coverage for low- and middle-income families. To help pay for that expense, increase taxes for those families earning more than $250,000. Obama also would require employers not offering health coverage to pay a percentage of their payroll toward a national health plan. Small businesses would be exempt. He would also mandate that children have health insurance, and he would expand who can participate in Medicaid and the State Children's Health Insurance Program.
Obama's plan would let people choose a public, Medicare-like plan or browse a shopping center of sorts for private insurance plans. The National Health Insurance Exchange would create rules and standards for participating private plans, and insurers would have to issue every applicant a policy regardless of pre-existing health conditions.
The problem: While the plan would help millions of people obtain health insurance, health analysts say it falls short of universal coverage. The Tax Policy Center says the Obama plan would reduce the number of uninsured by 18 million in the first full year of operation, from the current figure of 45 million. That still would leave millions of uninsured adults. Meanwhile, the penalty on employers that don't offer health insurance could increase the cost of operating a business. Also, the plan will cost an estimated $1.6 trillion over 10 years, according to the Tax Policy Center.
FOREIGN POLICY
The promise: Obama says he would engage both allies and adversaries to repair the U.S. image abroad and regain leverage and leadership that he says Bush squandered with the Iraq war. He says he will marshal international pressure against Iran, boost U.S. efforts against extremists along the Afghanistan-Pakistan border and get a faster and firmer start on Middle East peacemaking. He vowed to "renew the tough, direct diplomacy that can prevent Iran from obtaining nuclear weapons and curb Russian aggression."
FOREIGN POLICY
The promise: Obama says he would engage both allies and adversaries to repair the U.S. image abroad and regain leverage and leadership that he says Bush squandered with the Iraq war. He says he will marshal international pressure against Iran, boost U.S. efforts against extremists along the Afghanistan-Pakistan border and get a faster and firmer start on Middle East peacemaking. He vowed to "renew the tough, direct diplomacy that can prevent Iran from obtaining nuclear weapons and curb Russian aggression."
The problem: The Bush administration has already reversed many of its policies that other nations saw as isolationist or bullying -- for example, by joining international diplomatic efforts with "axis of evil" nations Iran and North Korea. But even those haven't produced great results and neither has yet to achieve its desired goal. Obama has suggested he would continue such efforts, but there is no guarantee they will yield greater success. The Bush administration has also in recent weeks engaged in unilateral strikes against extremists inside both Pakistan and Syria, prompting furious responses from those countries. Obama says he, too, will go after terrorists this way but any president wanting to step up such activities will face strong resistance from local authorities and probably pay the price for violating other nations' sovereignty by seeing cooperation cut back.
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