Dear Barack Obama,
Obamacare is a failure. Obamacare was doomed to be a failure. Obamacare made compulsory Health insurance a band-aid over Health Care, but Health Insurance is not Health Care. The only system that would provide health care for all people in America is a system that specifically does something like that, like Universal Healthcare. There's nothing wrong with admitting your mistakes; it's important to acknowledge them if your desire is for the people you care about, not attempting to fulfill a Legacy; Jimmy Carter has accomplished many good things since leaving the Presidency.
Join the Republicans, Democrats, and Trump to Repeal and Replace Obamacare with Universal Healthcare. Make it clear that you'd joyously give Trump all the credit if he wants it if it means Universal Healthcare; Nixon passed many good laws. Advocate making Universal Healthcare a Constitutional Amendment. Stump for any Democrat or Republican will to support such legislation. Call out other Democrats who refuse to work with Republicans. Acknowledge criticism of not working well-enough with Republicans in the past, but make it clear you are putting the country first now and will work with anyone with the same goal. Advocate merging Medicare/Medicaid into Universal Healthcare. Make it clear that health care is an American responsibility, and it shouldn't be left up to individual States to control the flow of money to pay for health care nor to set requirements for licensing of doctors or nurses or restriction on services provided; yes, this means Universal Healthcare paying for abortions. Make it clear that so long as abortion is a legal medical procedure and deemed necessary, it is appropriate for Universal Healthcare to fund it like any other necessary procedure. Private hospitals and abortion clinics can continue to exist to allow for medical procedures deemed unnecessary or to expedite non-emergency care, to paid for by insurance or out of pocket.
Advocate to take steps to reduce the costs of health care by making more doctors available, bulk purchasing prescription, and other steps that other countries with Universal Healthcare engage in. This could include things like complete Federal management of student loan forgiveness for doctors and nurses, lowering residency requirements for doctors from countries with comparable health systems, requiring all public hospitals to run residency programs, and seeing what regulations are unnecessary or overly expensive and should be reworked or removed. Based on other Universal Healthcare systems, the money we spend on Medicare/Medicaid alone should be enough to cover nearly all the expenses of Universal Healthcare for all people in America; a slight tax increase may be necessary and the market correction will undoubtedly be painful, but it's a necessary step.
I believe fundamentally you are a pragmatist. However, there is nothing pragmatic in merely doing what seems possible today if your goal is a better future. What is pragmatic is to strive for the things that are really possible today and tomorrow. There's definitely a lot about the cost of and organization of health care I am not well versed enough in to fully flesh out the idea. It will take many people, both in the private and public sector to provide input. There are many example countries to look at on what we're doing wrong on cost. If there's one person's voice that will resonate the most, it will be yours to make clear that what matters more is not whether you have your name associated with something but whether what needs to be done is done.
Obamacare is a failure. Obamacare was doomed to be a failure. Obamacare made compulsory Health insurance a band-aid over Health Care, but Health Insurance is not Health Care. The only system that would provide health care for all people in America is a system that specifically does something like that, like Universal Healthcare. There's nothing wrong with admitting your mistakes; it's important to acknowledge them if your desire is for the people you care about, not attempting to fulfill a Legacy; Jimmy Carter has accomplished many good things since leaving the Presidency.
Join the Republicans, Democrats, and Trump to Repeal and Replace Obamacare with Universal Healthcare. Make it clear that you'd joyously give Trump all the credit if he wants it if it means Universal Healthcare; Nixon passed many good laws. Advocate making Universal Healthcare a Constitutional Amendment. Stump for any Democrat or Republican will to support such legislation. Call out other Democrats who refuse to work with Republicans. Acknowledge criticism of not working well-enough with Republicans in the past, but make it clear you are putting the country first now and will work with anyone with the same goal. Advocate merging Medicare/Medicaid into Universal Healthcare. Make it clear that health care is an American responsibility, and it shouldn't be left up to individual States to control the flow of money to pay for health care nor to set requirements for licensing of doctors or nurses or restriction on services provided; yes, this means Universal Healthcare paying for abortions. Make it clear that so long as abortion is a legal medical procedure and deemed necessary, it is appropriate for Universal Healthcare to fund it like any other necessary procedure. Private hospitals and abortion clinics can continue to exist to allow for medical procedures deemed unnecessary or to expedite non-emergency care, to paid for by insurance or out of pocket.
Advocate to take steps to reduce the costs of health care by making more doctors available, bulk purchasing prescription, and other steps that other countries with Universal Healthcare engage in. This could include things like complete Federal management of student loan forgiveness for doctors and nurses, lowering residency requirements for doctors from countries with comparable health systems, requiring all public hospitals to run residency programs, and seeing what regulations are unnecessary or overly expensive and should be reworked or removed. Based on other Universal Healthcare systems, the money we spend on Medicare/Medicaid alone should be enough to cover nearly all the expenses of Universal Healthcare for all people in America; a slight tax increase may be necessary and the market correction will undoubtedly be painful, but it's a necessary step.
I believe fundamentally you are a pragmatist. However, there is nothing pragmatic in merely doing what seems possible today if your goal is a better future. What is pragmatic is to strive for the things that are really possible today and tomorrow. There's definitely a lot about the cost of and organization of health care I am not well versed enough in to fully flesh out the idea. It will take many people, both in the private and public sector to provide input. There are many example countries to look at on what we're doing wrong on cost. If there's one person's voice that will resonate the most, it will be yours to make clear that what matters more is not whether you have your name associated with something but whether what needs to be done is done.