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June 8, 2009
Dear President Obama #140: The healthy, whole truth
Posted: 10:40 AM ET
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Reporter's Note: Over on Pennsylvania Avenue, President Obama has said Americans should help him run America by offering ideas. Personally, I think a law requiring all shoes to be waterproof would be a good start. Such inspirations are the reason I continue writing a letter each day to the Oval Office.

Tom Foreman | Bio
AC360° Correspondent

Dear Mr. President,

I was sitting with my family this weekend in the wake of a whirlwind two weeks, what with end of school activities and all, and we were watching Catch Me If You Can. What a fabulous movie. I think we’ve all seen it three or four times and yet it is still wonderfully entertaining. You know Spielberg directed it. Did you chat with him at that big dinner a few weeks back? I was standing a few feet from him at one point, but he seemed sort of engrossed in a conversation with George Lucas, so I didn’t want to butt in.

“Hey, George, how’s it going?”

“O.K., Steven. Seen any good movies lately?”

“Ha. Good one.”

Something like that.

Anyway, one of the central themes of the movie is expressed by the character, Frank Abagnale, as he talks to the FBI guy who has been on his trail: People only know what you tell them. He’s right. The cornerstone of the careers for an awful lot of con men and politicians is that notion. Tell people whatever you want, and if you do it with enough confidence they’ll buy it. Especially if it is something they want to hear.

I have been thinking of that amid this news that Democratic activists are preparing for a strong push this summer to make voters more receptive to your ideas for health care reform. No doubt they will tell people a lot of “facts” about the need for this reform, and Republicans will counter with a lot of “facts” that make the opposite case.

What you need to be careful about, however, is what the voters tell you. Polls right now show that people are more receptive to the idea of this kind of reform than they once were, and a majority wants to pursue it. But the picture gets a lot sketchier when it comes to picking up the tab. The majority quickly slips to a minority when that old bugaboo of higher taxes comes lumbering around the corner.

See what I mean? I have a lot of faith in the ability of voters to decide what is right for our country, but experience has also taught me that they will often get enthusiastically on board for expanded services when they think those services are free, (or at least funded by someone else) but they can quickly head the other way when they realize they will have to pay for it.

My point is this, if you or your fellow Democrats in any way obscure or try to hide the cost of health care reform, you could raise expectations for a long awaited change, only to see those hopes crushed beneath the wheels of tax fears in a final vote. If you truly believe in the merits of your health care reforms, you need people for the hard work; to tell people not what they want to hear, but what they need to know, and convince them it is right, even if it is difficult. The Republicans will give you trouble enough on this, but you will only make it easier if you allow your side to obscure easily revealed truths in the name of political expediency.

I hope your week is off to a great start. I’m feeling rather refreshed, and I found an excellent new trail to hike a bit over the weekend. Give me a ring if you think you can spare an hour or two, and we can hit it next weekend if you like.

Regards,

Tom

Find more of the Foreman Letters, here.

6 Comments
6 Comments
Kurt   June 8th, 2009 10:47 am ET

Tom,
The harsh truth is that health care is in DIRE need of reform.
Too many are "earning" too much at the expense of too many.
Whether that funding comes from you and me, or Wall Street,
or the insurance giants, or mysteriously appears in big bags,
the argument for socialized medicine grows old as Americans
young and old, poor and wealthy, die and or go bankrupt just
to pay outrageous medical expenses.
I do not have the answers, nor do I pretend to understand the enormity
of the situation. I only know the US health care system fails to provide
for it's people.

Karen   June 8th, 2009 11:08 am ET

Reform is necessary period. The scare tactics of nationalized care are just that : scare tactics. I know an awful lot of people in countries with NHS and let me tell you, not one would give it up for our system. Not one. We've had plenty of conversations about it. I have GREAT coverage, and still can't always see the specialist I am advised to. SO there goes the theory of being able to choose your doctor. People need to get over the fact that we may need to change how this is paid for, but if we don't, the economy will never improve. This is proven, by numbers. IMO, only the insurance companies and the pharmaceuticals will lose out.

Denise   June 8th, 2009 11:41 am ET

The truth is is that as a country we are already paying an enormous
price for our current health care system. All of us. From people being financially ruined because of high costs, to lack of preventive care resulting in people becoming a burden on the welfare system, we are ALL paying dearly. Also people currently with health insurance may not be aware that the quality of their care has declined significantly. The amount of time a doctor is allowed for each patient, the difficulties getting diagnostic testing, rising co- payments, the lack of quality controls in the system, the list goes on. As long as our health care is a "for profit" system we will suffer. We ,as a result, are one of the unhealthiest countries in the world. It is criminal that people are suffering as a result.

We need to wake up.....

Holly   June 8th, 2009 12:16 pm ET

Our health insurance co sent us a nice letter of intent...71 % increase September 1, 2009....what is next?

Ralph Joseph   June 8th, 2009 1:09 pm ET

As long as there is profit in keeping people sick, and giving them medication they do not need, then there will always be a problem with outrageous costs in healthcare.

The scare tactics of republicans apposing and criticizing a government run system as a choice to citizens is hilarious no wonder no one takes their comments serious any more. By the way, isn't Medicare a government run system? AND, aren’t Gingrich and his republican friends in congress and the Senate using a government system for their own personal healthcare??????

Voters need to educate themselves and vote out those who appose healthcare reform.

Kaelinda   June 8th, 2009 1:55 pm ET

The gap between qualifying for Medicaid and being able to pay for comprehensive insurance is HUGE. THAT's what needs to be fixed. All the homeless and poverty-stricken people in this country already have "nationalized insurance:" Medicaid. All the retired people who want it can get Medicare, another "nationalized insurance." But what about all the people in the working class and in the lower middle class who can't afford to pay the increasingly outrageously high medical insurance premiums plus pay their co-payments plus pay for medications? It's a patently unfair system we have now, and that's what I'm hoping Obama will fix. The only way it will affect ME personally is that I'll have to pay higher taxes. But it will be worth it if fewer people die because they can't afford medical care or prescription medications.

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