Fact Check: Obama Consistent in His Position on Single Payer Health Care

Rhetoric: "Today, he opposes single payer health care, and attacks Sen. Clinton for proposing a plan that covers everyone"

Reality: Obama Has Consistently Said That If We Were Starting From Scratch, He Would Support A Single Payer System, But Now We Need To Build On The System We Have

If Obama Were Starting From Scratch, He Would Support A Single Payer System. The New Yorker wrote, "'If you're starting from scratch,' he [Obama] says, 'then a single-payer system'-a government-managed system like Canada's, which disconnects health insurance from employment-'would probably make sense. But we've got all these legacy systems in place, and managing the transition, as well as adjusting the culture to a different system, would be difficult to pull off. So we may need a system that's not so disruptive that people feel like suddenly what they've known for most of their lives is thrown by the wayside.'" [New Yorker, 5/7/07]

If Obama Were Starting From Scratch, He Would Support A Single Payer System. "At a roundtable with a handful of invited guests at Lindy's Diner in Keene, Obama said if he were starting from scratch, he would probably propose a single payer health care system, but because of existing infrastructure, he created a proposal to improve the current system." [Concord Monitor, 8/14/07]

If Obama Were Starting From Scratch, He Would Support A Single Payer System. Obama said, "Here's the bottom line. If I were designing a system from scratch I would probably set up a single-payer system...But we're not designing a system from scratch...And when we had a healthcare forum before I set up my healthcare plan here in Iowa there was a lot of resistance to a single-payer system. So what I believe is we should set up a series of choices....Over time it may be that we end up transitioning to such a system. For now, I just want to make sure every American is covered...I don't want to wait for that perfect system...The one thing you should ask about the candidates though is who's gonna have the capacity to actually deliver on the change?...I believe I've got a better capacity to break the gridlock and attract both Independents and Republicans to work together." [http://iowa.barackobama.com/page/community/tag/Ames]