Without question the biggest domestic issue facing the United States in healthcare. After years of extempers discussing foreign policy issues such as the war in Iraq, the war in Afghanistan, and the United States role in the international system, the focus has shifted back to domestic issues as Americans become more concerned about the home front in light of the economic recession.
During the 2008 presidential campaign, President Barack Obama discussed the need to reform America’s healthcare system. This was a message that had been forwarded by President Bill Clinton, Vice-President Al Gore, and Senator John Kerry in their presidential runs dating back to 1992. However, in Clinton’s case healthcare reform failed and Gore and Kerry failed to find enough resonance with the issue to win their respective elections.
Due to this promise it is no surprise that Obama has chosen this issue as his first major domestic social challenge. However, the road to reforming American healthcare is complicated, likely more complicated than Obama had expected. This topic brief will focus more on the political aspect of healthcare reform and if a healthcare reform bill is passed in the fall there will be another topic brief that will break down the components of the healthcare package. Therefore, this topic brief will discuss the major issues with American healthcare, Obama’s strategy for passing healthcare reform, and the consequences for getting or failing to get a bill passed by the end of the year.
Last week Social Security and Medicare trustees released a chilling report that documented the dire financial straits of the programs they oversee. According to the trustees, Social Security will start taking in less money than it sends out in 2016 and by 2037 the fund will go bust, four years earlier than anticipated. Also, Medicare’s hospital fund is already running a deficit and is now in danger of going bust by 2017.
Domestic social issues are issues that extempers never want to discuss. Extempers dread walking into them and feel even worse after they have competed. Speaking on domestic social issues well is a fine balancing act between taking a moderate approach on issues, so as not to offend judges, and having a knowledge base that can cite specific examples of how approaches have worked in the past and could work better in the future.
by Bill Thompson