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During the primary campaign, one of the big disagreements between Barack Obama and Hillary Clinton was about healthcare mandates.  Should a national healthcare plan require that everyone be covered one way or another, or should coverage be optional?  Clinton favored a mandate and Obama didn’t, but Ezra Klein has been talking to some of the Obama folks involved in formulating the upcoming budget and says that things have changed:

The budget — and I was cautioned that the wording “is changing hourly” — will direct Congress to “aim for universality.” That is a bolder goal than simple affordability, which can be achieved, at least in theory, through subsidies. Universality means everyone has coverage, not just the ability to access it. And that requires a mechanism to ensure that they have it.

Administration officials have been very clear on what the inclusion of “universality” is meant to communicate to Congress. As one senior member of the health team said to me, “it will cover everybody. And I don’t see how you cover everybody without an individual mandate.” That language almost precisely echoes what Senate Finance Chairman Max Baucus told me in an interview last summer. “I don’t see how you can get meaningful universal coverage without a mandate,” he said. That judgment was further emphasized last fall, when he released the first draft of his health care plan and built in an individual mandate.

This strikes me as a concession to reality on Obama’s part — both political reality and policy reality.  It’s also good news.  Regardless of the details, I think it’s important to commit to the principle of universality in a concrete way, and an individual mandate is one way to do that.  It’s not the way I’d do it, but at least once the principle is in place it makes it a lot easier to argue productively over the details.  So two cheers for the mandate.  It’s a pragmatic and welcome shift.

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REAL QUICK, REAL URGENT

Minority rule, corruption, disinformation, attacks on those who dare tell the truth: There is a direct line from what's happening in Russia and Ukraine to what's happening here at home. And that's what MoJo's Monika Bauerlein writes about in "Their Fight Is Our Fight" to unpack the information war we find ourselves in and share a few examples to show why the power of independent, reader-supported journalism is such a threat to authoritarians.

Corrupt leaders the world over can (and will) try to shut down the truth, but when the truth has millions of people on its side, you can't keep it down for good. And there's no more powerful or urgent argument for your support of Mother Jones' journalism right now than that. We need to raise about $450,000 to hit our online fundraising budget in these next few months, so please read more from Monika and pitch in if you can.

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