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Fixing Health Care Does Not Require a “Bi-Partisan” Bill. It Does
Require a Public Health Insurance Option.
The private insurance industry and its spokespeople in Congress are
frantically making the argument, that for health care reform to last and have the
support of the American people Congress must pass a “bi-partisan” health
care reform plan.
Of course you never heard a word about “bi-partisanship” from the
insurance industry or Republicans when they passed the notorious “Medicare Part D”
prescription drug plan in 2003. Back then, they froze Democrats out of
all negotiations, and passed the bill on a 220 to 215 vote in the House (with
only 16 Democrats voting yes). In fact, Medicare Part D would be their
idea of a “good” health care “reform”: taxpayer subsidies for private
insurers with no competition from a public plan. And if we went that route, the
results of health care reform would look pretty much like the results of
Part D as well – no cost control, giant gaps in coverage, and confusing
options for consumers.
Now that the political tide has turned, and last year’s economic collapse
has given voters a fresh lesson in the consequences of turning public policy
over to corporate CEO’s and insurance giants like AIG, the Republicans and
insurance companies have had an eleventh-hour conversion to the benefits
of “bipartisanship” when it comes to health care reform.
It’s no surprise then that in the current debate, the advocates of this
position have made it clear that, to them, “bi-partisanship” means one
thing: Americans should be denied the choice of a public health insurance option
like Medicare. Their problem is that while a public health insurance
option may not have bi-partisan support in Congress – it has big time
bi-partisan support among the voters.
In fact, of course, it won’t matter one whit to average Americans whether
the bill passed by Congress is “bi-partisan.” What will matter is that:
· Something gets passed.
· It provides health care for everyone.
· It puts the brakes on skyrocketing health care costs.
In the current context, there is no way to provide these things without
also providing us with the choice of a public health insurance plan that would
compete with private insurance companies, and keep them honest.
Average Americans know that they have been at the mercy of private health
insurers for too long. After the health care mess that they have created,
insurance companies can hardly expect everyday voters would be real keen
about handing them the exclusive right to provide health insurance to
everyone in America who is ineligible for Medicare, Medicaid or Veteran’s
benefits.
A poll conducted earlier this year by the highly respected Lake Research
Partners found that voters overwhelmingly want everyone to have a choice of
private health insurance or a public health insurance plan (73%), while
just 15% prefer everyone having private health insurance.
And the preference for a choice between public and private health
insurance plans extends across all demographic and partisan groups, including
Democrats (77%), Independents (79%) and Republicans (63%). So in fact,
President Obama’s proposal that creates a choice of a public health insurance
option is a bi-partisan plan – whether is has “bi-partisan” support in Congress
or not.
Because of the budget rules passed by Congress, Obama doesn’t actually
need any Republicans to pass a health care reform bill. The rules allow
passage without a filibuster, by a simple majority – which in the Senate means 50
votes and a Vice-Presidential tie breaker. That would allow passage of a
truly effective health care reform plan even while losing all Republicans
and 10 Democratic Senators.
Of course in this political environment that won’t happen. They may squeal
on their way to the vote, but in the end most Democrats and some
Republicans will almost certainly feel the heat of public opinion and vote for
health care reform when the chips are down.
The President’s principles – which were outlined in a letter to the
Senate last week – have broad support among most Democrats in both houses,
notwithstanding adamant insurance industry opposition to a public health
insurance plan.
The few isolated Democratic opponents in both Houses have never advanced
solid policy arguments in opposition to giving Americans the choice of a
public health insurance plan. The closest they’ve come is a frail argument that
many private insurers couldn’t compete. That line of argument ignores two
facts:
· The point of health reform is to provide health care to all
Americans, and to cut costs – not to benefit wasteful, inefficient private
insurance companies that have become fat by gouging consumers and denying claims.
· If private insurers can’t compete with an efficient public health
insurance plan, they have no business being in the market place. After
all, they would be the first to argue that the “private sector” is always
more “efficient” than government.
What they’re really worried about is that in order to compete they would
have to cut massive CEO salaries like the $26 million Cigna paid last year to
its CEO – a figure that is 65 times higher than the salary paid to the CEO
of the Federal Government – President Obama. Insurance companies are
worried that they would have to become more efficient and cut their profit
margins in order to compete. Of course from the point of view of the taxpayer,
that is one of the major goals of health care reform: to control
skyrocketing costs and incentivize efficiency instead of waste.
The other argument advanced by the few Democrats who oppose a public
health insurance option is the fallacious notion that it is not popular in their
districts. In fact, Republicans and Independent voters are almost as sick
of being at the mercy of private insurance companies as Democrats. The
idea of providing consumers with a choice of a public health insurance option
is popular in Arkansas and Kansas – as it’s popular in Illinois and New
York. It’s popular in rural areas and urban areas.
The Obama plan for health care reform has massive bi-partisan support
throughout the United States. Let’s get busy making sure that it becomes the
law of the land whether the insurance companies and the Republicans in
Congress support it or not.
Robert Creamer is a long-time political organizer and strategist, and
author of the recent book: “Stand Up Straight: How Progressives Can Win,”
available on _amazon.com_
(http://www.amazon.com/Listen-Your-Mother-Straight-Progressives/dp/0979585295/ref=pd_bbs_sr_1?ie=UTF8&s=books&qid=1206567141&sr=8-1
) .
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