HillaryCare: ObamaCare +

- February 26, 2014

As Hillary Clinton Gives Remarks At A Health Conference, A Look At How HillaryCare Is ObamaCare On Steroids

Today, Hillary Clinton Will Speak At The Health Care Information and Management Systems Society Conference And Exhibition. (Health Care Information and Management Systems Society Website, Accessed 2/25/14) 


As Someone Who Pushed For Health Care Reform While First Lady, Hillary Clinton Also Pushed For ObamaCare. “President Obama receives a congratulatory hug from Hillary Clinton the day after the House passed the Affordable Care Act. Clinton, who had pushed for health care reform when her husband was president, supported Obama’s insistence that the law be passed and spoke up on the president’s behalf during a cabinet meeting.” (Allen, Jonathan; Parnes, Amie (2014-02-11). HRC: State Secrets And The Rebirth Of Hillary Clinton. Crown Publishing Group. Kindle Edition.)

  • “She Defended The President’s Health Plan Against Doubting Cabinet Colleagues, A Moment The Authors Describe As ‘Pivotal, If Underappreciated.’” (Liza Mundy, “Book World: ‘HRC,’ Inside Clinton’s State Dept. And The Political Machine,” The Washington Post, 2/6/14)


In The 2008 Campaign, “The Centerpiece Of Clinton's Plan Is The So-Called ‘Individual Mandate,’ Requiring Everyone To Have Health Insurance—Just As Most States Require Drivers To Purchase Auto Insurance.” (Beth Fouhy, “Clinton To Offer Health Care Plan,” Associated Press, 9/17/07)

The Individual Mandate Is A “Centerpiece” Of ObamaCare. “A centerpiece of Affordable Care Act, also known as ObamaCare, is a requirement that all individuals carry some minimum health insurance or pay a tax. The new system aims to provide insurance through state marketplaces and subsidies for tens of millions of Americans who lack it.” (Kim Dixon and Patrick Temple-West, “IRS Issues Final Rules On ObamaCare’s ‘Individual Mandate,’”Reuters, 8/27/13)

Hillary Clinton Is A Longtime Proponent Of Targeting The Wages Of Hard-Working Americans To Pay For Health Care

Then-Candidate Hillary Clinton Said She Planned To Garnish Wages Or Enforce Her Individual Mandate Through Tax Mechanisms For Those Who Failed To Comply With Her Health Care Plan. GEORGE STEPHANOPOULOS: “And you talked about automatic enrollment -- will you garnish wages of people who don't comply, don't buy the insurance?” CLINTON: “George, we will have an enforcement mechanism, whether it's that or it's some other mechanism through the tax system or automatic enrollments, but you're missing I believe the key point.” (ABC’s “This Week,” 2/3/08)

  • Hillary Clinton: “There Are A Number Of Mechanisms -- Going After People's Wages, Automatic Enrollment -- When You Are At The Place Of Employment…” CLINTON: “And the reason why I think there are a number of mechanisms -- going after people's wages, automatic enrollment -- when you are at the place of employment, you will be automatically enrolled -- whatever the mechanism is is not as important as, number one, the fundamental commitment to universal health care, the appreciation that with health care tax credits and with a premium cap it will be affordable for everyone.” (ABC’s “This Week,” 2/3/08)

“Hillary Clinton’s Top Advisers Say She’ll Consider Garnishing The Wages Of People Who Fail To Enroll In Her Mandatory Health Insurance Plan...” (Glenn Thrush, “Battle Cry From Democrats Over Health Care,” [New York] Newsday, 12/1/07)

  • Hillary Clinton’s Policy Chief Neera Tanden Said That Garnished Wages Would Be A “Reasonable” Step To Enforce Her Mandate. “On a conference call with reporters to discuss the ad, Clinton policy chief Neera Tanden said the senator would ‘look at’ working with employers to ‘automatically enroll employees, going through and withholding part of their salaries to pay for it - those are reasonable steps to enforce a mandate.’” (Glenn Thrush, “Battle Cry From Democrats Over Health Care,” [New York] Newsday, 12/1/07)

As First Lady, Clinton Said That Fees Would Be “Deducted From Their Wages Or Obtained Through Tax Deductions” To Enforce Her ‘93 Plan. REP. MCDERMOTT: “And if he can't pay it or doesn't pay it, or she can't or doesn't pay it, what are the enforcement mechanisms?” … CLINTON: “For those individuals who are outside of any other employment relations and are self-employed or an independent contractor, we believe that the incentives and the opportunity to have affordable health care will be very difficult for people to turn away from. And if they show up for care and they cannot show their health security card, then there will be a process put into motion to collect what is due for the care that they have received, so they will be in a sense billed at the point of service, and it will be either deducted from their wages or obtained through tax deductions in some other way.” (First Lady Hillary Clinton, Committee On Ways And Means, U.S. House Of Representatives, Testimony, 9/28/93)

  • Clinton Said She Did Not Want To “Go Chasing Americans” But She Would Devise A Plan “To Collect What Is Due.” CLINTON: “Well, we do not want to create some large bureaucracy to go chasing Americans around who have not paid their health insurance premiums, which is one of the reasons why we favor the employer-employee system because then it will become automatic for most individuals. For those individuals who are outside of any other employment relations and are self-employed or an independent contractor, we believe that the incentives and the opportunity to have affordable health care will be very difficult for people to turn away from, and if they show up for care and they cannot show their health security card, then there will be a process put into motion to collect what is due…” (Sen. Hillary Clinton, Committee On Ways And Means, U.S. House Of Representatives, Testimony, 9/28/93)

Hillary Clinton’s 1993 Health Care Working Groups Proposed Punishing Americans That Didn’t Sign Up For Health Insurance To Pay An Additional 20 Percent Surcharge On Top Of Their Monthly Premiums. “The individual (or if it can be determined that the individual is a legal dependent, i.e., is being claimed as a dependent for income tax purposes by someone, then that someone is the responsible party) will from that point on be billed for the applicable share (if any) premiums for that plan plus a 20 percent premium surcharge.  The surcharge will last for the next 12 months worth of premiums.” (“Mandates And Enrollment Low Income And Non-Working,” Clinton Library Documents, 3/4/93, p. 9)

Clinton May Have Even Made Having Insurance A Condition Of Employment

Clinton’s 2008 Plan Required Everyone To Have Health Insurance, And It May Have Become A Condition For Employment. “Hillary Rodham Clinton wants the nation’s employers to help enforce her call for universal health insurance. Clinton, who unveiled a sweeping $110 billion-a-year plan Monday to provide coverage to all Americans, says everyone eventually would have to prove they have health insurance when they apply for a job.” (Geoff Earle, “Hill Care-Ried Away,” New York Post, 9/19/07)

  • “The Former First Lady Said She Could Envision A Day When ‘You Have To Show Proof To Your Employer That You’re Insured As A Part Of The Job Interview - Like When Your Kid Goes To School And Has To Show Proof Of Vaccination.’” (Geoff Earle, “Hill Care-Ried Away,” New York Post, 9/19/07)


Hillary Clinton’s Health Plan Had Mandated That Employers Provide Health Insurance Or Pay Into A National Fund. “Many 2008 Democratic presidential candidates, most recently Hillary Rodham Clinton of New York, are embracing the notion of the so-called ‘pay or play’ insurance coverage mandate, which would require employers to provide health coverage to their employees or pay a tax into a national fund that would provide the coverage for them.” (Sara Lubbes, “Perils And Pluses Of ‘Play Or Pay’ Insurance Mandates,” CQ HealthBeat News, 9/18/07)

  • HillaryCare ‘08 Plan Required Employers To Cover Their Employees Or Pay A Fine, Known As The “Pay or Play” Mandate. “Employers: will help finance the system; large employers will be expected to provide health insurance or contribute to the cost of coverage; small businesses will receive a tax credit to continue or begin to offer coverage.” (Press Release, “The American Health Choices Plan: Ensuring Affordable, Quality Health Care for All Americans,” Hillary Clinton, 9/17/07) 

Hillary Clinton’s Employer Mandate Would Have Lowered The Small Business Threshold -Penalizing Small Businesses That Have 25 Or More Employees

ObamaCare Exempts Small Businesses With Less Than 50 Employees From The Law’s Employer Mandate. “Small businesses with fewer than 50 workers have always been exempt from the Affordable Care Act coverage requirements, but the law originally required all other businesses to start covering their workers or face penalties beginning Jan. 1, 2014. The White House last July pushed that start date to 2015, in response to concerted pressure from the business community.” (Brett Norman and David Nather, “ObamaCare Delay Sparks New Mandate Fight,” Politico, 2/10/14)

Under Clinton’s 2008 Plan, Small Businesses With 25 Or Fewer Workers Would Be Exempt From The Employer Mandate. “She tries to woo small businesses by offering a new tax credit to companies that offer health insurance to their workers. Under the previous Clinton plan, small businesses that failed to cover their workers would have been forced to pay fines. Mrs. Clinton didn’t give full details for how the tax plan would work, but aides said that businesses with about 25 or fewer workers would qualify for the help, with the credit phased out as the businesses’ work forces grow larger.” (Laura Meckler and Jackie Calmes, “Clinton Health Plan Courts Business Allies,” The Wall Street Journal, 9/18/07)

Under Clinton’s 2008 Health Plan, Small Businesses That Employed More Than 25 Workers Would Be Subjected To The Employer Mandate. “Highlights of Clinton's Health Plan … Require large employers to either cover their workers or else contribute to the costs of those coverage costs. Tax credits would be provided to encourage small businesses (those with fewer than 25 workers) to provide health insurance, but they would not be required to do so. Tax credits would also be provided to large employers with high retiree health care costs.” (“Clinton Sees Better Chances For Health Overhaul,” NPR, 9/18/07)

  • Bob Laszewski – Health Industry Analyst And The Washington Post’s WonkBlog “Pundit Of The Year” On Clinton’s 2008 Plan: “So All Employers With, Presumably, More Than 25 Employees Will Have To ‘Play Or Pay.’” “The employer mandate has been much more carefully crafted this time. It is not clear where the small employer versus large employer break comes but comments from her campaign indicate that it is at 25 employees. So, all employers with, presumably, more than 25 employees will have to ‘play or pay.’” (Bob Laszewski, “An Analysis Of Senator Hillary Clinton’s Health Plan Proposal,” Health Care Policy And Marketplace Review,” 1/15/08)


Hillary Clinton Called For A Best Practices Institute

Hillary Clinton’s 2008 Health Plan Would Fund A Public / Private Partnership That Would Research Medical Practices That Work Best For Patients And To Reduce Costs. “The American Health Choices Plan funds a Best Practices Institute that would work as a partnership between the existing Agency for Health care Research and Quality and the private sector to fund research on what treatments work best and to help disseminate this information to patients and doctors to increase quality and reduce costs.” (Press Release, “Seniors Receive Higher Quality Health Care At Lower Costs Under Hilary’s Plan,” Hillary Clinton, 9/21/07)

  • Hillary Clinton: “I’ve Advocated A Best Practices Institute, A Public-Private Partnership Within The Existing Health Care System In Our Government.” (CBS’ “The Early Show,” 9/18/07)

In 1993, HillaryCare Called For “A Board Of Directors To Set” Health Standards. PRESIDENT CLINTON: “The federal government will set up a national health board - a board of directors to set standards and make sure you get the comprehensive benefits and quality care you deserve.” (Press Release, “The Health Security Act Of 1993,” President Bill Clinton, 9/20/93)

  • Board Members Would Have Been Appointed By President Clinton. “The National Health Board consists of seven members appointed by the President by and with the advice and consent of the Senate. … [T]he President nominates Board members on the basis of their experience and expertise in relevant subjects, including health care finance and delivery, state health systems, consumer protection, business, law or delivery of care to vulnerable populations.” (The White House Domestic Policy Council, The President’s Health Security Plan, 1993, pp. 46-47)

ObamaCare Includes A Board That “Identifies Best Practices” And To Make Cuts To Medicare

Obama: “Now, So What This Board Does Is Basically Identifies Best Practices And Says, Let's Use The Purchasing Power Of Medicare And Medicaid To Help To Institutionalize All These Good Things That We Do.” (President Barack Obama, Presidential Debate, Denver, CO, 10/3/12)

ObamaCare Created IPAB “To Cut Medicare.” “That’s the job description for the 15 members of the Independent Payment Advisory Board — the new panel created by President Barack Obama’s health care law to come up with ways to cut Medicare spending if it grows too fast.” (David Nather, “Medicare Cost-Cutting Job Could Be Worst In D.C.,” Politico, 5/14/11)

  • The Nonpartisan Congressional Budget Office Found That IPAB Will Be Required To Recommend Changes To Medicare Spending. “The legislation also would establish an Independent Payment Advisory Board, which would be required, under certain circumstances, to recommend changes to the Medicare program to limit the rate of growth in that program’s spending.” (Congressional Budget Office, Letter To Majority Leader Harry Reid, 12/19/09)
  • IPAB Will Advocate For Medicare Payment Cuts To Doctors. “The 15-member board will recommend cuts in Medicare payments to doctors, which will take effect automatically unless Congress votes to block them.” (Sam Baker, “Sebelius: Congress Can Avoid IPAB By Addressing Medicare Costs,” The Hill’s Health Watch,” 7/12/11)
  • If Congress Fails To Act On IPAB’s Recommendations, HHS Is Required To Implement IPAB’s Cuts To Medicare. “If Congress fails to act, the secretary of health and human services is required to implement the cuts.” (Bara Vaida, “The IPAB: The Center Of A Political Clash Over How To Change Medicare,” Kaiser Health News, 3/22/12)

ObamaCare Gives Obama The Power To Appoint Members To IPAB. “Because the President’s recess appointment authority is unqualified, it appears that he could fill member positions on the IPAB by recess appointment during any period when he could otherwise make such appointments. Under certain circumstances, such appointments might be subject to pay restrictions, but the analysis of such a possibility is beyond the scope of this memorandum.” (Congressional Research Service, Memo To Senator Coburn, 3/18/11)


Then-Candidate Hillary Clinton Said That Her Health Care Plan “Tells People, If You Have Health Insurance And You Are Happy With It, Nothing Changes.” HILLARY CLINTON:” Well, let me start by saying that this is the passionate cause of my public service. I started trying to expand health care many years ago, first to children, then to rural areas in Arkansas, and obviously tackled it during my husband’s administration. And the reason why I have designed a plan that, number one, tells people, if you have health insurance and you are happy with it, nothing changes, is because we want to maximize choice for people.” (Hillary Clinton, Democratic Presidential Debate, Los Angeles, CA, 1/31/08)

Obama Made The Same Promise And The Fact Checkers Branded It The “Lie Of The Year”

Obama: “If You Like Your Plan, You Can Keep Your Plan. If You Like Your Doctor, You Can Keep Your Doctor.”  OBAMA: “If you like your plan, you can keep your plan. If you like your doctor, you can keep your doctor. I can tell you, as the father of two young girls, I would not want any plan that interferes with the relationship between a family and their doctor.” (President Barack Obama, Remarks On Health Care Reform, Washington, D.C., 3/3/10)

CNN’s Jake Tapper On Obama’s Keep Your Plan Promise: “The Number One Lie Of The Year.” CNN’s JAKE TAPPER: “The lie of the year.  Control room, can we get a drumroll?  So here it is, by popular demand, the number one lie of the year, based on something the President first said in 2009, and updated in 2013.  OBAMA: If you like your health care plan, you can keep your health care plan.” (CNN’s “The Lead With Jake Tapper,” 12/12/13)

PolitiFact Headline: “Lie Of The Year: ‘If You Like Your Health Care Plan, You Can Keep It.’” (Angie Drobnic Holan, “Lie Of The Year: ‘If You Like Your Health Care Plan, You Can Keep It,’” PolitiFact, 12/12/13)


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