The Republican idea that health care shall remain private, untouched by the government, and that people should all figure out ways to get their own health care was developed when the vast majority of Americans had employer-based health insurance, and health care costs were a fraction of what they are now. To continue this policy flies in the face of reality, as the number of uninsured Americans reaches over 47 million, and the majority of the insured have been seeing huge reductions in their benefits while their premiums rise 4 times faster than wages. The system needs to be fixed.
Senator Obama's “universal health care plan,” a term demonized by Republicans under President Clinton, is not a handout, nor does it replace current private health care plans. For the majority of Americans, nothing will change except lower premiums and better coverage under their current plans. However, Obama's plan will stop the disgusting methods of insurance companies of cutting off care for high-cost patients, denying health care for “preexisting conditions” that keep profits high by pushing those patients into public funding, and giving ridiculously inflated prices to continue in a group plan after losing a job. The Obama plan is simply a very large group plan – the same plan government employees enjoy – available to every American, with subsidies for the very poor. The government does not become the insurer, so it's not socialized medicine like Canada, nor do you have to worry about “going to the doctor will be like going to the license branch.”
As a Republican, I do wish there was a way to fix the system without another entitlement program. But the Republicans simply ignore the issue, and even encourage insurance company immoral behavior, so Obama's plan is the only practical plan available.