Blog Watch

Posts Tagged ‘public option’

About That Compromise…

Senate Majority Leader Harry Reid announced a cryptic compromise last night — providing just enough detail to send the blogosphere scrambling to eek out the rest.

Today they’ve unfolded this much — there will be some sort of option for those 55-65 to buy into Medicare, coupled with new national nonprofit plans and a “triggered” public option. The problem? No one seems very happy.

TPMDC’s Brian Beutler reports: “The picture, therefore, is decidedly mixed. Which means, after all this effort, 60 votes remains uncertain. That’s probably why Reid sent an array of options to CBO, and why nobody will know the nittiest, grittiest details of the compromise until it’s unveiled.”  Beutler also rounds up Senators’ comments thus far.

There’s still a ton to figure out – The New Republic’s Jonathan Cohn made a list of 10 wonky policy questions, including who exactly will be allowed into Medicare (all workers? only uninsurable?) and what kind of plan would appear, should it be triggered?

Bob Laszewski thinks Democrats have latched onto Republican ideas in terms of the national nonprofit plan — and he says it will fail: “an out-of-state health plan by definition isn’t going to have a local provider network and will have health care costs that are a lot more expensive than a local plan that does have discounts and managed care protocols negotiated with providers. Well, at least neither side–Democrats or Republicans–have the upper hand on this issue.”

And economist Austin Frakt sees flaws in the proposal to open Medicare to more people: “That is, Medicare for the 55-64 age range will probably only be available to those who meet certain tests of neediness, which is closer to the way it operates for disabled individuals than for the elderly. In effect, Medicare will likely be a dumping ground for bad risks, risks that the insurance industry is happy to transfer to the federal government. This version of Medicare for more will not lead to Medicare for all, it may only lead to Medicare for all bad risks. That’s also why it may pass.”

Heritage’s Conn Carroll thinks the deal “reveals how desperate Reid is” and thinks the process continues to violate Obama’s promises: “When President Barack Obama gave one of his first national health care addresses in June, he instructed Congress: ‘As we move forward on health care reform, it is not sufficient for us simply to add more people to Medicare or Medicaid.’ But after months of debate in Congress, that is all Obamacare has turned out to be.”

And Cato’s Michael Tanner says “No wonder Senator Reid wants to keep it a secret,” and gives “afew reasons to believe this is yet another truly bad idea.”

Wednesday, December 9th, 2009

Looking for More

 Bloggers continue to focus on the various facets of the health overhaul debate, in particular, that the Finance Committee bill needs additional funding.

Bob Laszewski pounds away at the Finance Committee bill, which he argues could “make access even more problematic” because of insufficient subsidies for middle-income families in the context of a weakened individual mandate.  Laszewski also takes time to blast AHIP for bad PR strategy, saying, “I swear, if AHIP issued a press release on a crystal clear day telling DC the sun was shining no one would believe them.”

Heritage’s Brian Darling is upset with reports that the health overhaul bills are being crafted “in secret:” “Democracy does not begin and end on Election Day for the American people. Whether you are for or against Obamacare, we the people deserve an opportunity to read, digest and understand the most important health care legislation to be debated in the United States Senate in our lifetime. The American people relied upon the promise of the Obama Administration and the leadership in Congress to be open and transparent, therefore it is time to stop the closed door negotiations and allow the American people to participate in the democratic process.”

Health Beat’s Maggie Mahar argues that insurers are “running scared” because “the public sector option is still alive.” With this point, she says she means “Medicare E (Medicare for everyone)” which she describes as “a public option for patients under 65, run by the federal government.  The scent of real competition is what has insurers on the run.”

Perhaps the public option is still breathing, but according to Hot Air’s Ed Morrissey, not because of much help from President Obama: “Is this leadership?  It’s a passive-aggressive approach that leaves both progressives and moderates in Obama’s own party twisting in the wind.  Obama wants his advisers to take all of the flak from progressive action groups that will result from a retreat on government-run health insurance, but doesn’t have the stomach to take that hit himself.  The end result is confusion among legislators on Capitol Hill, and further entrenchment on either side of the issue.”

The New Republic’s staff editorial argues that lawmakers’ “desire to expand health insurance coverage exceeds their willingness to pay for it,” and they need to find more money for the health bills but are running into roadblocks:

With so many ways to raise revenue, finding some combination capable of winning majorities in both chambers would seem simple. It isn’t. Liberals don’t like the insurance excise tax, in no small part because unions don’t want it affecting older workers who won generous benefits in past collective bargaining agreements. Centrists want no part of taxes outside the health care system, particularly those that target the wealthy. And neither group seems seriously interested in extracting more concessions from the health care industry, which may have a little something to do with the fact that it bankrolls so many political campaigns.

The Washington Post’s Ezra Klein uses an answer from Sen. Olympia Snowe to take a big picture look at health reform efforts this year, arguing, “We have a conservative system of government (in that it’s very hard to change the status quo), and [Democratic lawmakers] designed health-care reform to be sensitive to that fact.”

Mark Trahant looks at another issue in the health overhaul debate: an exemption for Indian Americans to the requirement to purchase insurance.  According to Trahant, “But even if you agree with the exemption – as I do – there remains another issue to resolve, the money. Unless health care reform substantially improves the funding stream for the Indian health care delivery system, then the individual exemption is only a guarantee of permanent disparity.”

Monday, October 19th, 2009

Finance Members Keep Baucus’ Frown Upside-down

The Finance Committee remains in the spotlight today as bloggers continue digging into the health reform bill and the politics plaguing its members.

Keith Hennessey, a former Republican staffer, offers a thorough overview of Baucus’ bill, summarizing it, he says, “in a matter similar to what I might have done for my colleagues while working in the White House.” His post is complete with sub-heads such as “substantively meaningless hat-tips for the left and right” and “overlooked political flashpoints.” Hennessey concludes, “I apologize for losing some of my usual objectivity, but I was unable to control myself.  I think this legislation would be disastrous.”

The Washington Post’s Ezra Klein interviews moderate Democratic Senator Kent Conrad, and offers a glimpse of the politics behind his proposal to create nonprofit health insurance cooperatives:

I was also struck when I read the chairman’s mark that the co-op option seemed shackled. It couldn’t sell to large employers. It couldn’t set payment rates. The co-ops are not public. But they were being prevented from competing with insurers on a level playing field. It seemed like private insurers were being protected from competition.

I think there are things I would like to see that would make certain co-ops be given the full ability to compete that others are.

So you would like to see those restrictions lifted.

I would.

Why are they there?

Because that came out of the Group of Six discussions.

Wonk Room’s Igor Volksy previews the committee’s upcoming Tuesday debate of a public option.  While the Senate HELP Committee and all three House committees have included public plans in their reform bills, the landscape on Finance is much thornier, with Conrad pushing for nonprofit co-ops and Republican Olympia Snowe offering a “trigger” mechanism.  In a separate post, Volksy describes Democrats Jay Rockefeller and Chuck Schumer’s conference call with reporters yesterday describing their strategy to insert a public plan into the bill. Volsky even provides a sound clip of the Senators’ tough talk, which is punctuated with a prediction about the final outcome of the public plan battle.

Offering a nice illustration of the interplay at work between Conrad, Rockefeller and Schumer, Politico’s Carrie Budoff Brown described a scene at the Capitol yesterday: “And just as Rockefeller launched a takedown of Sen. Kent Conrad’s co-op proposal — mentioning the senator by name — Conrad himself walked into the otherwise empty room, his hand tucked into his pants pocket and a sly grin on his face. ”

John Thune of the Health Freedom blog says that the committee is “voting down amendments mostly along party lines.”

And Heritage’s Robert Book singles out the way the bill calculates subsidies for purchasing insurance and argues it “would have another, even stranger effect on hiring. Because the subsidy amount is based on family income and family size, not the wages that the employer pays, employers would naturally prefer to hire workers from higher-income families with fewer children. For example, hiring a single parent could incur a substantially higher tax penalty than hiring a worker with a working spouse or parent(s), or a worker who is single and childless.”

Friday, September 25th, 2009