Failure by Design - The "Public" Option



Triumph of the Money Party

Michael Collins

Do you know what the "public option" does or who it covers? If you've had trouble finding out, it's not your fault. Reading corporate media coverage provides little or no clue. It's hardly ever defined. There's a very good reason for the lack of clarity and definition. But first, a brief summary of the public debate that characterizes just about every public debate we have on critical issues.

If you think that the current version of the public option will provide a choice for a government administered health program, you're right. If you think that this option was designed for the general public, then you're wrong. It will apply to only some of the uninsured, possibly as few as six million citizens. It's a kind of public option.

But, if you support true choice by the public, then you probably expect this as an option: a single payer system for health care -- one source of payment for doctors and others funded and administered by the government for the public. Medicare is such a program. But we don't get to hear about single payer proposals except from proponents like Representatives John Conyers (D-MI), Dennis Kucinich (D-OH), and Anthony Weiner (D-NY), who define single payer universal health care very clearly.

President Obama's outline of the public option in his September 9 speech to Congress is essentially unchanged in the current legislation. The Democratic plan offers "a new insurance exchange" for "Americans who don't currently have health insurance." This sounds good so far, but wait. This exchange will be "a new insurance exchange --a marketplace where individuals and small businesses will be able to shop." The option will be "available in the insurance exchange" and "it would only be an option for those who don't have insurance." (See What Obama Actually Said About Health Reform)

It's not really public, it's for a small segment of the population, and it is any where from four to ten years out in full availability. This reflects the Oct. 29 House proposal, H.R. 3962, and some aspects of the latest Senate claims for a public option.. The entire effort, limited as it is, will be compromised from the very start since Congress linked public option provider reimbursement rates to those of the health insurance companies.

When citizens see "Open to the public," they don't take that to mean only some of the public. When land is set aside for "public use," does that mean only 5% or 6 % of the public? All of this makes no sense unless you accept the deliberately confusing definitions and assumptions of The Money Party.

Why would any member of the public think that they were excluded from a public option?

Why would those controlling the debate want us to think that?

Here's why. The findings in this poll strikes terror into the heart of The Money Party.

Link

The poll shows a clear majority in favor of a single payer, universal health care program as an option for all citizens. This poll is consistent with other polls despite the confusion from Washington. In a fair debate, the health insurance companies would get their clock cleaned and be out of business within a year or two. But we're not allowed an open and fair debate because the risk of vanishing corporations is never in The Money Party's game plan. Their political bouncers just tossed us under the bus.

The "Long Con" - How Things Work

"A ’short con’ is an opportunistic scam designed to instantly fleece the victim of all the money they have with them at that time. On the other hand, a long con takes much longer to execute and requires meticulous planning in order to scam the victim out of much larger amounts of money." Scam Types dot Com

The Money Party runs both short and long cons. When they weren't able to sell the Iraq invasion, the short con was: Saddam has weapons of mass destruction. He's ready to use them … on you! Get on board now or else! That short con operated within the long con of perpetual threats and endless war.

The current health reform debate is a classic long con. The debate is limited to only those positions that will work for the status quo. If reform fails, there's no change from the extortion perpetrated against citizens in need of affordable health care. If reform is adopted, the insurance companies are enshrined at the center of the program. The fight is then over the size of the rake off. That's called bending the curve of health care costs. Bend, don't break. It's a win-win proposition for The Money Party.

What do legislators do when their patrons demand that an irrational and deadly system remains in place? Confuse the dialog with weasel words and highly deceptive terms. Keep the public thinking that they're really going to benefit from a program and, better yet, that the opposition is trying to prevent that benefit. Get party loyalists whipped up to fight for your program even though it's a sham.

The current kind of public option is essential to The Money Party's long con on health reform. It allows people to think that there's a real debate going on. Someone is fighting for our option to choose decent and affordable health care.

It's all part of the long con that limits critical debate to unacceptable options advanced by allegedly differing parties. These debates always end the same way -- the perpetuation of the major corporate interests, the retention of those in power, and oligarchy; the triumph of The Money Party:

"The Money Party is a small group of enterprises and individuals who have most of the money in this country. They use that money to make more money. Controlling who gets elected to public office is the key to more money for them and less for us.

"In every campaign for major office, the party passes out money and buys candidates from both parties. Thanks to the candidates who get elected, this pay to play system remains perfectly legal … even though it looks like bribery.

'In return for contributions, the election winners come through by fixing the laws so that The Money Party cleans up. … Cost is no object, because in the end it’s all paid for with our tax dollars." Michael Collins: The Money Party, Sept. 30, 2007.

END

See: Special Health Reform Series: The Money Party and the sickness unto death

This article may be reproduced in whole or in part with attribution of authorship and a link to this web site.


Michael Collins November 2, 2009 - 3:37am

...to get an inferior health insurance plan offering very little in the way of anything that would help me to maintain my health and/or to be treated with quality care should I become ill. I expect it to be as cheap in price as it will be in service. Once again; nobody should be surprised as we're sold down the polluted river of corruption.


"We're all of us children in a vast kindergarten trying to spell God's name with the wrong alphabet blocks." ~ Edwin Arlington Robinson

Celsius 233 November 2, 2009 - 6:31am

That worth a thousand pictures. As one of the 15 mil self employed, here's what I expect. I have insurance so I won't get the exchange in 2013 or 2019 (House/Senate). But I fully expect that the 100% deduction I get for my very expensive plan (they're all expensive for us)will be eliminated, which will end up costing me money. As a citizen, I expect that this is really just another bailout for the profligate ways of these insurance mega corporations. Other than that, it's all good!

Michael Collins November 2, 2009 - 4:04pm

...that said; I live in a country known for it's massive and relatively open corruption. It bothers me less than the hypocrisy spewing out of the U.S. And, just as here; there will be no justice/prosecution. I no longer see much difference. Well, there is one difference: the corruption here is in the billions of baht; in the U.S it's trillions of dollars, so in matters of scale, there is a huge difference.


"We're all of us children in a vast kindergarten trying to spell God's name with the wrong alphabet blocks." ~ Edwin Arlington Robinson

Celsius 233 November 2, 2009 - 8:32pm

The poll shows a clear majority in favor of a single payer, universal health care program as an option for all citizens.

it's not single payer if it's an option in competition with private insurance.

... i really like the main point of this post, but this mistake is critical. hope the author will consider a correction. perhaps some reference could be made to the number of polls over the years showing support for single payer as well as kip sullivan's post at pnhp (linked to in the text) showing the weaknesses of polls about the public option.

http://www.wpasinglepayer.org/PollResults.html

p.s. i'm a single payer "extremist" and that's one of the reasons i think it's really important to get this stuff right.

selise November 2, 2009 - 6:44am

Or should it be just greed?

Synoia November 2, 2009 - 10:02am

The point of my article was not to get wrapped up in the personalities, parties, and neologisms of the Money Party. They'll get you every time. Here's the cleanest question about single payer - government funded and administered health care. To say that this isn't single payer is to say Medicare isn't. In other countries with single payer, there are still private plan options. Here's the poll over time.

What I took from the Peterson article is that despite the pollution of terminology which by now means nothing (e.g. "public option").

Now, lets factor in the lack of broad and reliable information about a Medicare like program for all to choose. These numbers, as I said, would be much higher in that case. The disinfo has been present, prevalent, and pervasive on this issue -- and still these numbers show up.

This dialog and debate among citizens at its best. This is what they think with a tight MoE over time.

Michael Collins November 2, 2009 - 4:44pm

single payer is NOT a public option in a multi payer system. that is a confusion that the money party has been spreading this past year. please don't help them.

with single payer everyone is in the same program. it fosters social solidarity instead of class division. it is able to capture savings that weakly regulated multipayer systems with or without a public option don't (especially in administrative overhead) -- so much savings in fact that for about the same cost (total national health expenditures) we could have comprehensive universal healthcare in this country. that means first dollar coverage for all medically necessary healthcare for everyone. hence the saying that everyone pays a little in taxes for a health care system of:

everybody in, nobody out
no deductibles, no copays, no coinsurance
doctors and hospitals compete for your business

seriously, lots has been written about this (including in nejm, jama, etc) over many years. a good place to start to learn more is the single payer resources page at pnhp:

http://www.pnhp.org/facts/single_payer_resources.php

for a summary of hr 676, the main single payer bill embodying these principles, see john conyer's faq:

http://www.johnconyers.com/hr676faq

single payer, unlike the public option which is a creation of democratic party operatives, is a genuine grass roots effort that is supported by thousands of doctors, nurses, patients and other activists. it was single payer activists who went so far as to get arrested at 2 of the senate finance committee hearings to protest their exclusion from the proceedings (even though hr 676 had 93 cosponsor in the 110th congress). here is just one recent post to give you a flavor of the ongoing activistism that is not being adequately covered in either the msm or the progressive blogosphere:

http://www.counterpunch.org/zeese10202009.html

there's lots more, but i'll stop after one more link. the polling you cite has problems:

http://pnhp.org/blog/2009/10/19/“public-option”-bait-and-switch-campaign-fools-pollsters/

finally, none of this undermines your main thesis. in fact it strengthens it because it demonstrates how successful the money party has been in distorting out national "debate" on healthcare reform.

selise November 3, 2009 - 2:08am

With the necessary improvements in Medicare like full drug coverage, the ability to drive down drug prices, uniform and fair fees for physicians, etc.

On defining single payer, this a public debate. Here's what Weiner and a good summary say.

Nice to see you

"The truth is that the United States already uses single-payer systems to cover over 47% of all medical bills through Medicare, Medicaid, the Veterans Administration, the Department of Defense and the Bureau of Indian Affairs." Rep. Anthony Weiner
http://tinyurl.com/lkl74u

Single-payer health care is a public service financing the delivery of near-universal or universal health care to a given population as defined by age, citizenship, residency, or any other demographic. ... Medicare in the United States is an example of a single-payer system for a specified, limited group of persons within a country. Wikipedia http://en.wikipedia.org/wiki/Single-payer_health_care

Single-payer--a model in which healthcare delivery would remain largely private, but would be paid for by a single federal health insurance fund (much like Medicare provides for seniors, and comparable to Canada's current system)--polls well with the public, who preferred it two-to-one over a privatized system in a recent survey (New York Times/CBS, 1/11-15/09). But a media consumer in the week leading up to the summit was more likely to read about single-payer from the hostile perspective of conservative columnist Charles Krauthammer than see an op-ed by a single-payer advocate in a major U.S. newspaper. FAIR http://www.fair.org/index.php?page=3733

Various systems are described as single payer. I as clear about a universally available medical health care system like Medicare (Medicare for All) which would be the single source of payment for health care. If you want to adopt one definition of one particular group, that's fine. But arguing over definitions is begging the question. We need a universal health care system and one that the public can conceive - Medicare is one of those.

Yet there is this ridiculous debate in the middle of the political spectrum and a tiny one outside of that between people seeking a solution that will work and those who argue over definitions. Medicare works. Despite the shills out there saying it's a big mess, that's not the case. It's the one chance we have. Medicare for all is the best option that we've go now, obviously with reforms like negotiating ability for medication and more robust coverage. 3% overhead compared to 10%, 20%, & 40% depending on what kind of plan you have, will make up a huge difference.

One thing for sure is that when this is all over, the pathetic excuse for a bill that is produced by the bipartisan, semi-partisan, partisan coalition will cause real anger among those who listened to the debate and heard what was said, rather than the obscurities that Congress and the administration are putting forward.

Michael Collins November 3, 2009 - 1:32pm

oops

Michael Collins November 2, 2009 - 4:44pm

The truth about a single payer system is that it can work! One very similar program is being successfully run in Ohio. The gov't could learn from them! http://cli.gs/z3AtaY/

stephhunter November 2, 2009 - 1:11pm

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