Robert Reich
Robert Reich - 
Listen To The Story


Kai Ryssdal: President Obama had the top three Republicans in the House over for lunch today. I have no idea what they ate, but the conversation was probably more interesting -- where they might be able to find common ground and where they'll agree to disagree. Health care reform is distinctly in that latter category.

Commentator Robert Reich says sometimes you've just got to eat your vegetables.

Robert Reich: The Republican vote to repeal the new health care law is purely symbolic. Besides, polls show most of the pubic continues to support the health care law, especially the requirement that insurers cover people with preexisting conditions and don't drop someone with a costly disease.

But there's one provision of the law that Republicans are likely to try to de-fund, and they may have the public with them on this. It's the so-called "individual mandate," the requirement that everyone purchase health insurance, or pay a fine. According to a recent poll, 60 percent of the public opposes it. They just don't like the idea of government telling them they have to buy something.

The mandate is also particularly vulnerable to legal challenge. So far, two federal judges, one in Virginia and another in Florida, have struck it down. They say the federal government has no more constitutional authority requiring citizens to buy insurance than requiring them to buy and consume broccoli or asparagus. The Florida judge referred to broccoli; the Virginia judge to asparagus.

Yet the new system can't work without the individual mandate. Only if everyone buys insurance can insurers afford to cover people with preexisting conditions or pay the costs of catastrophic diseases.

The curious thing is Americans don't mind individual mandates when they come in the form of payroll taxes to buy mandatory public insurance. In fact, that's the system we call Social Security and Medicare, and both are so popular politicians dare not touch them. And no federal judge has struck down Social Security or Medicare as being unconstitutional requirements that Americans buy something. Social Security and Medicare aren't broccoli or asparagus; they're as American as hot dogs and apple pie.

So if the individual mandate to buy private health insurance gets struck down by the Supreme Court or killed off by Congress, I'd recommend President Obama immediately propose what he should have proposed in the beginning -- universal health care based on Medicare for all, financed from payroll taxes.

Ryssdal: Robert Reich was Secretary of Labor for President Clinton. His most recent book is called "Aftershock: The Next Economy and America's Future." David Frum's back next week.

In the meanwhile, send along your comments.