Former Labor Secretary Robert Reich explains what a public option for healthcare coverage really means for working people.
Category Archives: public option
Gov. Howard Dean, former chairman of the DNC and the author of Howard Dean’s Prescription For Real Health Care Reform.
In today’s Washington Post, Steven Pearlstein argues that Democrats should just give up on the public option. “Enough already with the public option!,” he writes. Steven thinks we should drop one of the most popular and effective aspects of health care reform simply because the fight is too politically difficult in Congress. I think such an approach would ruin health care reform and devastate the Democratic party.
Steven is confusing health insurance reform with health care reform. If we only get reform that requires insurance companies to provide coverage to everyone who applies, charge everyone the same premiums, and end their discriminatory practices, that would be great insurance reform, but it’s not, as Steven writes, health care reform.
Real health care reform that includes a new public health insurance option would give Americans a real choice and not reward for-profit health insurers with 47 milllion new customers. Real health care reform that includes a new public health insurance option would cut out the administrative waste of private insurers and begin changing the way health care is delivered. Real health care reform that includes a new public health insurance option could adopt the kind of payment reforms that would start to “hold down long-term growth in health spending” and encourage providers to deliver care more efficiently. We know that premiums in the public option would be about 10 percent lower and that a real robust plan that piggy backs off of Medicare’s infrastructure could save us somewhere between $75 billion and $150 billion over 10 years.
Just because the public health insurance option is “new,” moreover, does not mean it’s not worth fighting for. Steven points out that I did not propose a robust public option in 2004 election. The measure of good politics and policy is the ability to accept and identify new ideas. My 2004 plan may not have included a new stand-alone program, but it did allow Americans over 55 to enroll in Medicare and everyone under 25 would have been eligible for Medicaid.
I believed that government could help expand coverage and control costs then, and the overwhelming majority of Americans believe it today. If the August recess has taught us one thing, it’s that Republicans have ended all serious conversations about reform and will oppose reform whether it includes a public option or not. They want to make the choice for the American people instead of letting Americans have their own choice of coverage. And if Democrats follow their lead, they will have to face the voters’ choice come November.
How Pharma and Insurance Intend to Kill the Public Option, And What Obama and the Rest of Us Must Do
By Robert Reich
FRIDAY, JUNE 05, 2009
I’ved poked around Washington today, talking with friends on the Hill who confirm the worst: Big Pharma and Big Insurance are gaining ground in their campaign to kill the public option in the emerging health care bill.
You know why, of course. They don’t want a public option that would compete with private insurers and use its bargaining power to negotiate better rates with drug companies. They argue that would be unfair. Unfair? Unfair to give more people better health care at lower cost? To Pharma and Insurance, “unfair” is anything that undermines their profits.
So they’re pulling out all the stops — pushing Democrats and a handful of so-called “moderate” Republicans who say they’re in favor of a public option to support legislation that would include it in name only. One of their proposals is to break up the public option into small pieces under multiple regional third-party administrators that would have little or no bargaining leverage. A second is to give the public option to the states where Big Pharma and Big Insurance can easily buy off legislators and officials, as they’ve been doing for years. A third is bind the public plan to the same rules private insurers have already wangled, thereby making it impossible for the public plan to put competitive pressure on the insurers.
Max Baucus, Chair of Senate Finance (now exactly why does the Senate Finance Committee have so much say over health care?) hasn’t shown his cards but staffers tell me he’s more than happy to sign on to any one of these. But Baucus is waiting for more support from his colleagues, and none of the three proposals has emerged as the leading candidate for those who want to kill the public option without showing they’re killing it. Meanwhile, Ted Kennedy and his staff are still pushing for a full public option, but with Kennedy ailing, he might not be able to round up the votes. (Kennedy’s health committee released a draft of a bill today, which contains the full public option.)
Enter Olympia Snowe. Her move is important, not because she’s Republican (the Senate needs only 51 votes to pass this) but because she’s well-respected and considered non-partisan, and therefore offers some cover to Democrats who may need it. Last night Snowe hosted a private meeting between members and staffers about a new proposal Pharma and Insurance are floating, and apparently she’s already gained the tentative support of several Democrats (including Ron Wyden and Thomas Carper). Under Snowe’s proposal, the public option would kick in years from now, but it would be triggered only if insurance companies fail to bring down healthcare costs and expand coverage in he meantime.
What’s the catch? First, these conditions are likely to be achieved by other pieces of the emerging legislation; for example, computerized records will bring down costs a tad, and a mandate requiring everyone to have coverage will automatically expand coverage. If it ever comes to it, Pharma and Insurance can argue that their mere participation fulfills their part of the bargain, so no public option will need to be triggered. Second, as Pharma and Insurance well know, “years from now” in legislative terms means never. There will never be a better time than now to enact a public option. If it’s not included, in a few years the public’s attention will be elsewhere.
Much the same dynamic is occurring in the House. Two members who had originally supported single payer told me that Pharma and Insurance have launched the same strategy there, and many House members are looking to see what happens in the Senate. Snowe’s “trigger” is already buzzing among members.
All this will be decided within days or weeks. And once those who want to kill the public option without their fingerprints on the murder weapon begin to agree on a proposal — Snowe’s “trigger” or any other — the public option will be very hard to revive. The White House must now insist on a genuine public option. And you, dear reader, must insist as well.
This is it, folks. The concrete is being mixed and about to be poured. And after it’s poured and hardens, universal health care will be with us for years to come in whatever form it now takes. Let your representative and senators know you want a public option without conditions or triggers — one that gives the public insurer bargaining leverage over drug companies, and pushes insurers to do what they’ve promised to do. Don’t wait until the concrete hardens and we’ve lost this battle.
Robert Reich was the nation’s 22nd Secretary of Labor and is a professor at the University of California at Berkeley