Public Option To Have Opt-Out?


Harry Reid is expected to announce that the "public option" in current healthcare reform legislation will have a state by state opt out clause. From the Times:

The Senate health care legislation will include a government-run insurance plan, but states would be allowed to “opt out” of it, the majority leader, Harry Reid of Nevada, will announce officially on Monday afternoon, Senate Democratic aides said.

How would states do this?

Mr. Reid’s office has not released any details. In theory, states that wish to opt out of the public plan would have to adopt a law to do so, which would require agreement between the state legislature and the governor.

I think that is a reasonable hurdle, or to put it another way, an acceptable compromise, because it is a hurdle. It puts the burden on state legislators to justify why they think their state shouldn't be a part of the plan.

That being said, I don't like The National Journal's take on it:

Reid's apparent intent to move ahead with a public option, including an opt-out, has led some Senate aides to suggest Reid is readying a strategy in which he might lose the cloture vote but then quickly bring to the floor a bill with a compromise public option designed to attract more centrists.
That approach would reduce the chance of attacks from liberals by proving that the votes are not there for a more robust public option, an aide to a centrist senator said.

That, on the other hand, doesn't surprise me and would be very typically of the Senator from Nevada. Is it an attempt to water the bill down and sell out progressives? Might very well be.


Sean Paul Kelley October 26, 2009 - 4:23pm
( categories: USA: Domestic Issues )

Hasn't Reid consistently pretended to push for progressive changes, just to inexplicably back down at the last minute? That is, inexplicably, if one assumed he was being honest and not just playing a well planned script.

creativelcro October 26, 2009 - 9:10pm

since it would be entirely possible for the grassroots base to cause such a sh&*storm that they picked up the 2-3 votes for cloture.

I'm not sure, Harry Reid has got to be awful scared about his polling back home, the PO is very popular among the Nevadan Democratic Base.

zot23 October 26, 2009 - 9:39pm

That, on the other hand, doesn't surprise me and would be very typically of the Senator from Nevada. Is it an attempt to water the bill down and sell out progressives? Might very well be.

even if that's true, i still am glad that he's pushing a less watered down version first. unlike a lot of bloggers, i'm not allergic to compromises (provided the compromise isn't worse than having no bill). i would rather that reid, and all the dems, push ahead with a stronger position, even if they think it won't pass in its current form. when they hit the wall, that's the time to make concessions. what drives me crazy is when they start to make concessions from the outset.

upyernoz October 26, 2009 - 9:43pm

I believe they have one shot at this and if they don't pull it off then it devolves into chaos. Progressive Senators have likely been making their own quiet public option demands and potentially threats as well.

Jeff Wegerson October 26, 2009 - 11:33pm

The big win is tens of millions of new paying customers. If they can't pay, the government pays for 'em. If they don't or won't pay, they get fined, jailed, lose their jobs, liens on cars and homes, arrest and prosecution.

"Move 'em out, head 'em up, Head 'em up, move 'em on.
Move 'em out, head 'em up: Rawhide!"

The second big win is that there are no restrictions on rate levels for age. The insurers have fought this very hard -- they plan on charging higher rates the older the customer is, which effectively continues the practice of cherry picking and avoiding losses by having to pay, you know, actual health care costs.

This will be extended across employer plans, making it a no-brainer for employers to hire the youngest and healthiest people they can find, and nobody over 40 if they can help it.

The third big win is that insurers wrote most of the current bill, and will be working closely with a few legislators to iron out the final bill after it passes both House and Senate. Little carefully worded sentences here and there will make loopholes galore, and then they will work with regulators to write little sentences into the regulations this new law will spawn.

It's their game, and they have it wired. Even the public plan itself will be run by one of the current big insurers, so they will rake a big profit off the top of it.

The mere fact that Baucus has signed on says everything you need to know -- he's been well paid to see that the fix gets put in, so if he's happy, baby, the fix is in.

"Any manifest error on the part of an enemy should make us suspect some stratagem."
~ Niccoló Machiavelli

Antifa October 27, 2009 - 1:27am

Comment viewing options

Select your preferred way to display the comments and click "Save settings" to activate your changes.