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It's All About the Public Option

by: Dean Barker

Sun Jul 05, 2009 at 21:12:05 PM EDT


I'm delighted that the Sentinel took up some of what I said about what Gregg said in their editorial today.  But I'm afraid that in this case my affection for snark needlessly obscured the point I was after, which is really a simple one.  So let me lay it out as clearly as I can:

I'm more or less agnostic on the question of requiring people to have insurance.  It was, however, one of the more engaging policy episodes in the long Obama-Clinton nomination battle, and I'm glad I was there to watch it unfold.

When I took our Senior Senator to task, it was because he is so dreadfully opposed to real health care reform that he is willing to become Hillary for President '08 and federally mandate everyone to be insured.

To say it another way: He's climbing so far out on the ledge of his own GOPer principles because it's the only way he knows how to avoid a public option.

Judd Gregg knows a viable public option will ultimately mean the end of the private health care status quo. He knows that if Barack Obama and the Democrats deliver the beginning of the end of the health care catastrophe, it will eventually become as cherished as FDR's Social Security.

In terms of policy, Judd Gregg (and Hillary Clinton) may well be right to demand an insurance requirement of all Americans.  But the senator is not, in my opinion, making this argument on policy grounds.  It's a Hail Mary fourth quarter political calculation to avoid the expansion of government's role in the delivery of quality, affordable health care, something nearly every other industrialized nation on earth has. One last shot to avoid the successful accomplishment of this by the political party that, in his lifetime, has consistently shown more regard for the less well-to-do than his Grand Old one.

I would be willing to give Senator Gregg a pass on his remarks for an insurance requirement, or even praise, were it not for this one ineluctable consequence of his plan:

If every American were forced to buy insurance from the current private health care oligarchy, it would result in an even worse situation than what we now have. One way or another we will be facing some scenario where we are funneling public money into private companies who will saddle the formerly uninsured with barely affordable slow-motion indebtedness junk insurance.  And why shouldn't they?  They are for-profit companies that have no obligation to the Commonweal, but a significant obligation to the bottom line.

So, thanks but no thanks, Senator.  Elections have consequences; We the People gave Junior Senator "Stop Complaining About Health Care" an early retirement to a life of enrichment through Boards. We've got 60 Democrats.  Let's get Byrd and Kennedy in the same room with the other 58, get it past cloture, let the Landrieus and Feinsteins and other David Broders vote against it, and make darn sure we are 51 or more to pass on health care reform with a viable public option.

This is the moment we have been waiting for.  Judd Gregg knows this. Do we?

Dean Barker :: It's All About the Public Option
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Wealth care (0.00 / 0)
The problem with what I take to be your scenario is what would indeed be the ultimate bad news. Paying for the private health care industry and also paying for the public health care bureaucracy. The only hope we have for not breaking the bank is taking the roughly $800 billion a year now wasted on private health care administrative overhead and apply that toward providing coverage for the 45 million and counting that have no coverage. We now, as a country, spend about 2.7 trillion a year on health care. The private industry sucks off 34% of that for their costs and profits. We need everyone to keep paying about what they do now plus this gain of efficiency of the federal government (Medicare has about 4% overhead) in order to get this done. Let's not promise more pies in the sky. We are still going to be paying twice what other industrialised countries pay, it is just that the rest of our citizens will have coverage until such a time as the cost reductions from healthiness training can kick in. Also there are other benefits around the edges such as the decreased anxiety and increased productivity but please let's go into this with our eyes open.

In theory (4.00 / 1)
If every American were forced to buy insurance from the current private health care oligarchy, it would result in an even worse situation than what we now have.

The people who support this approach could argue that a sudden, sharp increase in insurance use will lower prices, because a much larger pool of money will cover the same healthcare system, and economies of scale will lower prices.

But I don't buy that for a second. What, the insurers and going to cap their profits and pour money back into the system?


Yes I said yes I will yes. (4.00 / 1)
What, the insurers and going to cap their profits and pour money back into the system?


birch, finch, beech

[ Parent ]
You can legislate all kinds of requirements, but such legislation is bound to (4.00 / 1)
fail.  You can't put positive mandates on free persons.  There's a reason why even the Ten Commandments are mainly, except for honoring your father and mother, negative.  
Even way back then it was obvious that you can lead a horse to water but you can't make him drink.

People who desire to engage in exchange and trade fall into a different category.  The community can assert "you can't do that, unless you do the other" (sell dinner to whites, if you don't also sell it to blacks) and enforce that dictum by shutting and bolting the doors of the establishment.
But, just as the dinner provider still has an option not to serve anyone, insurance providers will be able to respond to a mandate that they serve everyone in the same way.  (Some people seem fundamentally opposed to equality of any kind).

Anyway, this is not rocket science.  We have a public education system and the people who want something "better" and special send their kids to private academies and pay extra.  So, we already have the model for a public health system (which we actually had before privatization came along) which serves everyone that Opts-In and doesn't really care if the super-snobs get their bunions treated elsewhere.
What really doesn't make sense is why 50 million should continue to spread their germs around because somebody's got a notion that microbes are God's punishment and shouldn't be interfered with.



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