His point is that the federal government needs to also protect the citizens against private health insurance companies with regard to purchasing and affording adequate and dependable health care; that is also an issue of the safety of the public and needs federal regulation. Obviously, with no regulation now, the private insurance companies can charge whatever they want and change prices whenever they want and it's making everyone suffer because when people are uninsured all the prices balloons exponentially. So just like food and drug protection by the federal government, so does the federal government have to be part of the answer in protecting the citizens from the abuses of the private health providers. The Republicans object to the federal government protecting people's health care, because they feel that federal government regulation is intrusive at all and too much “big government.” But it's inconsistent thinking. The problem is that the bigger the problem the more the federal government has to be involved. The Republicans are not realizing that we are already using the federal government for food inspection and drug inspection, so we need it for health care too. And, mandating heath coverage purchase by the federal government is for purchasing any type of health coverage, not only the kind the government decides. The only thing that the federal government is in control of is mandating its citizens have some kind of health coverage so that they are protected and so that the system is healthy as a whole.
The Obama administration is proposing that there be a system set up where there are many options of coverage to choose from, where the individual can choose which kind of health coverage they buy. If they like the coverage they already have they do nothing and are unaffected. But everyone must buy some type of health insurance. If someone doesn't buy health insurance and they get sick they are a drain on the system because they are uninsured. That’s the extent of the federal government intrusion into the public sector. The individual must buy some coverage for the stability of the nation. The Republicans are objecting to the government having anything to do with regulating the system at all because they are afraid that any federal government control at all would limit individual choices by its very involvement at all. That's too extreme in my opinion. It's verging on paranoid. The federal government needs to step in because the insurance companies are not being responsible. They are taking advantage of consumers because they don't have to answer to anyone. They are unregulated. So some regulation is needed. The Republicans want the states to offer their own versions and keep the federal government out of it. (That is an old fear of the federal government becoming socialist or communist or like a dictatorship. That is old, antiquated thinking.) The Democrats fear is that if left to the states that the states will not regulate the insurance companies enough. It is a legitimate concern because the insurance companies are not regulating themselves enough and the system is suffering. The Republican ideal is too much toward free market and less government control and regulation. But then businesses, like insurance companies, can do what they want. The Democrats don't trust that the individual states would regulate the insurance companies enough. This is perhaps where the Democrats are too extreme. Maybe a compromise between federal control and state control is needed with health care more than with food and drugs.
I personally think that the bigger the problem the more the role of the federal government will be. States are more local. Health care is a national problem, not only a state problem. The fear of the federal government taking control of even a portion of the health care system is too extreme and a myth as I've written about before.