Q: You mentioned health insurance and loss of jobs in Pennsylvania earlier. What do you see as the key issue for the state? How would you go about attacking it?
A: I think for Pennsylvania, and I think the same is true for America, it’s the economy, and I think obviously that is the top domestic concern. Internationally, it’s a fight against terrorism in Iraq. When you talk just about the domestic front, I think that most people now understand, like we did have a sense even five years ago, and certainly not 10 years ago, that when you talk about the economy, if you’re not talking about health care and deficit starting with those two, you are not really serious about economic growth of progress.
Unfortunately, what this administration has not done is focus in any way on the crisis that we have in health care. I consider a big fat zero, association health plans and health savings accounts. If they work, you know, fine, but it doesn’t put any dent in the big problem.
That’s why in this campaign I have had two specific ideas, among others, on health care. One is children’s health insurance. There’s a bill in the Senate that specifically targets that to do a number of things. First of all, to allow states to have more resources for the children’s health insurance programs which we know in Pennsylvania has been supported by the last four governors, started by one that I knew well in 1991, supported by Gov. Ridge and Gov. Schweiker and supported in my judgment, not just because I am a Democrat, because I think the evidence shows, supported mightily by Gov. Rendell, who has been trying morning, noon and night to expand the CHIP program. But he needs help with federal dollars, and we should give it to him to make sure that you can expand the number of kids enrolled. We still have kids that are eligible but not enrolled, and we also still have a lot of work to do on Medicaid, which this bill would do as well.
The second part of it, I think, is small business. One of the ideas in the Senate, and it’s a great idea, by Sens. Blanche Lincoln of Arkansas and Dick Durbin of Illinois, to come up with a model or a proposal which is modeled upon the federal employees plan where you have a large and open purchasing pool for insurance, where many entities, in the case of the federal plan employees and in the case of the business world a lot of small businesses, can pool their risk and you want to model it so that they can choose from a lot of different plans, just like federal employees can. My point is, why should members of the House and the Senate get the benefit of this wide and open purchasing pool where they have 10 different plans they can chose from? It is a Cadillac plan that they get to chose from. Beneficiaries of collective bargaining and all of that. Why shouldn’t we have a similar opportunity for small businesses? It’s a really good idea to move the ball down the field, and I think when we talk about …
Q: The federal plan is underwritten by the federal government. Are you suggesting that the federal government should likewise underwrite the health care for employees of small businesses?
A: For starters, absolutely.
Q: Isn’t that going to be a huge amount of money?
A: You’re talking billions of dollars, at least [TRILLIONS]. When I talk about health care for kids and health care for small business, and we talk about investments in education, all of these things I think are important investments. One of the ways you pay for that, if I have my way, is to repeal the tax cut for the top 1 percent. It doesn’t solve all the problems, but unless you are using … I think it’s an abomination, is probably the best way to describe it, that we have a tax cut for the top 1 percent or even further, for people making $200,000 and up, in a time of war. The first time in American history. At a time of record deficits and a time of health care crisis. If there is anything that should happen in the next couple of months and years, job one should be repealing the tax cuts, using some, not all, but using some of those savings to reduce the deficit and to focus on priorities like health care and education.
Q: I’d love to see the numbers on that. If you’re going to spend what would be billions and billions of dollars, why maintain a system that is tied to employment? What about when these people get laid off or shift jobs? Don’t we need a different basic change in the system?
A: Some believe, and a lot of Democrats believe, that we should have a national health insurance plan and it should be funded through the Medicare program. I think the goal has to be to cover every American. We’ve got 46.6 million Americans with no health insurance, more than 8.3 million American children. The goal has to be to cover everyone. The question is, how do you get there in a way that is realistic and achievable? I don’t think some of the proposals that I have heard for the national health insurance are achievable or realistic in the short run. I frankly do not want to wait until some far off time, 2009, where Democrats hope there is a Democratic president. I want to make progress on this issue in 2007, preferably in the first couple of months of 2007.
One of the ways to do that is to focus on children and small business and to make substantial progress. I think it is critically important that these bills get passed in the Senate, which won’t solve the problem, won’t insure 46.6 million Americans, but you are moving down the road to covering more people, just as you are doing deficit reduction.
We can’t wipe out the deficit in one year. This crowd put us in a hole over five years, but you have to commit yourself to a new direction on health care and the deficit and move in the direction of making progress on both. Bullet all of these proposals; every proposal that I have made in this campaign has to be subjected to the discipline of fiscal responsibility and pay as you go, as Democrats in Washington have been pushing for years now.
The Republicans are the ones who voted down pay as you go, over and over again. That may mean that my health care ideas have to be scaled back next year if we are going to make progress on lowering the deficit. It might mean that we have to scale them back over time, but I think you have to put these ideas out there, show how you are going to pay for them, and then get about the business of implementing them. Maybe it will take longer than I wanted. I think the economy is the central challenge in this state and the deficit and health care. I think also work force development is a big part of this, and it’s not a real exciting thing to talk about. It’s dry, but it’s critically important.
Casey does not have a health care plan. Casey has health care sound bites. Bad sound bites I might add. Democrats are all clowns when it comes to health care and Socialism.