One fact has been overlooked concerning President Obama's willingness to implement a health care system that lacks a public option: He was elected under a platform that did not call for one.
He did seem to commit to the government plan a couple of months ago, when he said:
Any plan I sign must include an insurance exchange: a one-stop shopping marketplace where you can compare the benefits, cost and track records of a variety of plans - including a public option to increase competition and keep insurance companies honest - and choose what's best for your family.
A kneejerk reaction would be to say that Obama promised an insurance exchange, and not a public option.
Bu as you can see, Obama went on to define "insurance exchange," and the definition makes it clear that he was not just talking about
any insurance exchange but one that included such government plan (public option). Thus, we were told that there must be an insurance exchange
with a public option in it.
Indeed, following this statement, progressive Washington Post columnist Ezra Klein wrote a story titled,
"Obama Says Health-Care Reform "Must" Include Public Option." But again, at least we cannot say that Obama play the American voter for a fool, since he is backtracking not from a campaign promise, but from a statement in June, which is not as bad.
If at the end he settles for something other than a public option, I would call it a flip-flop; not a broken promise.
UPDATE: A reader observes that during the campaign, Obama
, "My plan builds on and improves our current insurance system, which most Americans continue to rely upon, and creates a new public health plan for those currently without coverage. Under my plan, Americans will be able to choose to maintain their current coverage if they choose to. For those without health insurance I will establish a new public insurance program, and provide subsides to afford care for those who need them." http://projects.washingtonpost.com/2008-presidential-candidates/issues/candidates/barack-obama/