Public Option: RIP


The public option is dead.

After this news, is there any question at all that the health care bill should be opposed?

I'm all ears.

Meanwhile, Reuters says Public Option not dead.

Reid says "It's a consensus that inlcudes the public option."

More after the jump.

REID STATEMENT ON HEALTH REFORM CONSENSUS BETWEEN MODERATES AND PROGRESSIVES

Washington, DC—Senate Majority Leader Harry Reid made the following
statement tonight:

“This has been a long journey. We have confronted many hurdles, and
tonight I believe we have overcome yet another one.

“I asked Senators Schumer and Pryor to work with some of the most
moderate and most progressive members of our diverse caucus, and
tonight they have come to a consensus.

“It is a consensus that includes a public option and will help ensure
the American people win in two ways: one, insurance companies will
face more competition, and two, the American people will have more
choices.

“I know not all 10 Senators in the room agree on every single detail
of this, nor will all 60 members of my caucus. But I know we all
appreciate the hard work that these progressives and moderates have
done to move this historic debate forward.

“I want to thank Senators Schumer, Pryor, Brown, Carper, Feingold,
Harkin, Landrieu, Lincoln, Nelson and Rockefeller for working together
for the greater good and never losing sight of our shared goal: making
it possible for every American to afford to live a healthy life.

“As is long-standing practice, we do not disclose details of any
proposal before the Congressional Budget Office has a chance to
evaluate it. We will wait for that to happen, but in the meantime,
tonight we are confident.”

Rumors around DC tonight say it's a public option run by insurance companies with no teeth. Yeah, some fucking public option that is.

Feingold, in essence, says, "it's not a public option and I won't vote for it.

“While I appreciate the willingness of all parties to engage in good-faith discussions, I do not support proposals that would replace the public option in the bill with a purely private approach. We need to have some competition for the insurance industry to keep rates down and save taxpayer dollars. I will base my vote on the bill on the entirety of what is in the bill, and whether I think the bill is good for Wisconsin.”

Update: TPM has an breakdown of what's in the works with the public option. I'm not hopeful.


Sean Paul Kelley December 8, 2009 - 10:04pm
( categories: USA: Domestic Issues )

what an ass.

Bowers:

So, it looks as though the buy-in compromise is indeed worse than even the opt-out compromise. However, the next play should not be to fight to save the opt-out, "level playing field" public option, but rather to expand the Medicare buy-in to all Americans between the age of 55 and 64 (inclusive). Such a buy-in would cover 13 million people under public insurance, more than double the amount under the House public option. The 13 million number was derived from there being roughly 39,000,000 Americans between the age of 55-64, the earlier CBO's estimate listed above.

Well I guess that is the way to get the older voter, but what about everyone else

Tina December 8, 2009 - 10:43pm

When has Harry Reid showed any semblance of strength, ever? How he resides in the position he is in today is maddening.

jendrzje December 9, 2009 - 12:28am

If this was Battlestar Galactica, I'd suspect him of being a Cylon.

creativelcro December 9, 2009 - 10:31am

eom

Lesly December 8, 2009 - 11:30pm

nyt

Thanks everyone, for being patient and waiting for us. It goes without saying that this has been kind of a long journey. We have confronted many hurdles and had to take some big steps and a lot of little steps. But tonight we have overcome a real problem that we have had. I think it’s fair to say that the debate at this stage has been portrayed as a very divisive one and many have assumed that people of different perspectives can’t come together. But I think what we were able to work out the last few days, which culminated tonight belays that fact. We have a broad agreement. Now I know that people are going to ask to be given every detail of this.

I have talked 20 minutes ago to Doug Elmendorf. I told the head of the CBO that we were going to send him something tomorrow that he would have to score and the reason I mention that to you, I also went over in some detail about what we were authorized to say about we are going to send him. We know what we are going to send him, we have to write it up in legislative language. And he said the same as when you sent over your merged bill. We have had a rule here for 40 years or however long we have been in existence, if you start talking about the plan and start shipping it around, it will be made public. And we want not that to be the case because we want to know the score before we start giving all the details even to our own members.

So you are not going to get answers to those questions. I asked Senators Schumer and Pryor to work together with a group of moderates and progressives. Everyone thought it’s an impossible job. But these two fine senators have done an outstanding job of leading these two groups of people. Everyone knows who the 10 are, they have worked very hard for days now. This is a consensus that will help ensure the American people win in a couple of different ways. One, insurance companies will certainly have more competition and two, the American people will certainly have more choices. I already know all 60 senators in my caucus don’t agree on every piece of the merger. I know that we have sent over there to CBO, or will send to them tomorrow, not everyone is going to agree to every piece that we have sent over there. But that doesn’t mean that we disagree on what we sent there.

I applaud and congratulate the 10 senators led by Schumer and Pryor. I think it’s important to mention their names, Brown, Carper, Feingold, Carper, Harkin, Landrieu, Lincoln, Nelson, Rockefeller. As I have indicated, we can’t disclose the details of what we have done, but believe me we have got something that is good and I think is very, for us, it moves this bill way down the road.

Let me just say, we have seen all kinds of articles in newspapers that Senator Schumer, Senator Pryor, I have said things, other parts of the tent, as Elmendorf and I talked tonight, all the things you have read in the newspapers, all the things you have read in the newspapers. The public option is gone. It’s not true. Ok. Everyone understand that. So we are not going into detail. But you have heard to this point, you could be surprised what we’ve sent to CBO.

Tina December 8, 2009 - 11:31pm

I repeat: plz die.

Lesly December 8, 2009 - 11:32pm

Yes kill it, it was never going to pass with anything in it that helps the 40m people that don't have it. Then you have crazy Ben last week in congress saying if something doesn't give soon they might have to adjust SS and Medicare so even if 13m did get it wouldn't for long. If you closed 900 bases around the world and stopped all of the wars then great health care would be Free. There just to much money floating around the halls congress and it's all about follow the money. The below is really sad about the state of health care here in the Amerika compared to other nations with less income.

http://www.msnbc.msn.com/id/34330376/ns/health-health_care/

jo6pac December 8, 2009 - 11:43pm

In months of following the health care debate, not once have I heard a coherent explanation of exactly why we need a public option to achieve our goals. At the least, its a failure of communication but I often think people are buying into the label. I sure as hell know that the Republican argument of tort reform and buying across state lines won't be anywhere close to enough, sure, but do we REALLY need the PO? Since the PO is so important, can someone please lay out a basic understanding of how it is absolutely necessary?

jendrzje December 9, 2009 - 12:24am

I sure as hell know that the Republican argument of tort reform and buying across state lines won't be anywhere close to enough, sure, but do we REALLY need the PO?

Agonist.org isn't a RedState echo chamber, but are you in the right place? The PO isn't good enough for Agonistas. Some of us prefer single-payer.

Or are you being sarcastic?

Lesly December 9, 2009 - 12:29am

If I had my way, the US would have a single payer system of health care. In the event you did not notice, SP has essentially been laughed out of debate by our fabulous house and senate representation. Since the debate now has turned to focus on the PO, I am discussing it. How you associate what I said with anything the pigs at Redstate say is beyond me. Did I not imply that the Republican argument is nonsense? I believe you have me confused.

jendrzje December 9, 2009 - 12:51am

A robust public option would create very real competition in the insurance market, lowering said costs and forcing insurance companies to fall into line, thus lowering costs for all people. Of course, we know the private industry insurance companies don't fear competition, right? So no need for a public option, right?

"All men's gains are the fruit of venturing."

-Herodotus

Sean Paul Kelley December 9, 2009 - 12:46am

I don't understand how, after months and months of repeating this, there are still people who don't get it or don't want to get it. But I'm not sure that what is being proposed, overall, will not reduce costs.

creativelcro December 9, 2009 - 10:24am

has there ever actually been any "public option" in the numerous proposals we've seen that isn't operationally a half-hearted token give-away to the commercial sector and doomed to fail as opposed to a genuine program that benefits from large economies of scale, ability to negotiate prices, etc.?

Aguilar December 9, 2009 - 2:00pm

There are other options that could effect the needed changes beside the public option.

Obama and the Democratic Party could have served the nation well by starting with an actual debate: bringing out every possibility and how it might look applied to the US situation and then, you know, debating the pro's and con's of each.

They didn't because the former has no evident leadership skills and the latter is hopeless.

Lex December 9, 2009 - 11:51am

Tina December 9, 2009 - 12:27am

Rail 3.0 Health care. When you're sick, you know you're sick. When you can't pay for it, you know you can't pay for it. How stupid do these miserable excuses for legislators think we are? They raised hopes of real reform. They raised the public option and let many think it really was that, universal for "the public." Tey hid the fact that it was placed 4 years out (# varies according to lying pol). NOW they get to find out what happens when you mess with the lives of citizens, their friends, and families.
Rail 3.1 The internet. The violent radical radicalization bill is out there, not yet law but being "modeled." And ACTA, the copyright treaty back door intended to shut down much of the internet, is hurtling down the tyrannical tracks. The think that we won't notice.

Michael Collins December 9, 2009 - 4:51am

Sorry, I don't follow... Perhaps I missed one of the previous episodes :)

creativelcro December 9, 2009 - 10:26am

this compromise. It brings more people into a public option plan (since Medicare is fully up and running) faster than the other alternatives. It can start immediately in 2010 vs. 2014 for the other alternatives. It successfully bends the cost curve (though the jury is not fully in until CBO scoring).

It insures 95% of all Americans (and basically the 5% are those allowed to opt out for religious reasons). It brings competition to all 50 states, and creates the MedCom commission which is probably the most important piece of the legislation though the press in their usual fixation does nothing but sound bites.

Cannot lose insurance for preexisting conditions or have your policy canceled, no caps on coverage. You can keep the coverage you have, and receive very generous subsidies. Even more tantalizing is that this piece of legislation is crafted in a manner that would allow future expansions of the Medicare coverage option in States that do not provide sufficient competition and also a mechanism for expanding Medicare which would be filibuster proof because such a narrow expansion impacts the budget so that it falls under reconciliation. Public coverage can expand faster under this plan.

Howard Dean endorses this as does Jay Rockefeller. They are as progressive as it gets, and very close to the process with a deep understanding. All the good parts are being front loaded in this thing, so the bang will be effective immediately in 2010.

Scotjen61 December 9, 2009 - 10:52am

Rockefeller is progressive as long as we're not talking FISA.

I'm surprised Dean endorses it, but mostly, I just want this nightmare to go away.

Lesly December 9, 2009 - 11:07am

The process has worked exactly the way it was supposed to. As far as the public option being dead, I do not know a more robust public option healthcare government system than Medicare. It's expansion can be immediate.

Scotjen61 December 9, 2009 - 11:12am

If Howard Dean endorses this, I'd have to look into it in more detail. He knows the health care topic better than most other politicians, and he generally says what he thinks (it may be the main reason why Dean is not President now).

creativelcro December 9, 2009 - 12:18pm

if Dean endorses.

"All men's gains are the fruit of venturing."

-Herodotus

Sean Paul Kelley December 9, 2009 - 1:02pm
Synoia December 9, 2009 - 11:40am

would be if progressive senators walked away from any plan without a strong public option, simply would not vote for anything else. Then tell Obama/Reid if they want to pass anything they need to force an up or down 50+ vote (reconcilliation, nuclear option, whatever) so we can have what we need to vote for this slug.

The key here to getting anything though is being willing to walk away for good unless we get something we want. If we're not willing to do that and vote for this mess, progressive senators are every bit as spineless and rudderless as Reid and Obama.

I'm definitely ready to see this turd get flushed.

zot23 December 9, 2009 - 12:15pm

... And what do you really know about it?

creativelcro December 9, 2009 - 12:18pm

Medicare is a strong public option and it is being expanded to age 55 from 65. Based on the scoring I've seen so far it will cover more people than the former 'public option' ever would. Expanded Medicare also starts out of the box in 2010 instead of 2014.

This legislation is meeting all of the targets:

95% of population covered
no more being kicked off a plan for preexisting conditions or having a capped sum on your plan
health plan competition in all 50 states

I put a lot of weight on Howard Deans endorsement, and Jay Rockefellers. Reid has done a fantastic job.
bending the cost curve, i.e. slowing the increase in premiums
not adding to the Federal Deficit
Subsidizing low income workers and families for the healtcare costs

The whole point of this debate has been expanding coverage to all Americans (excluding those opting out for religious reasons). Watching it evolve to me has been a lesson in how Democracy works, give and take. When did America lose the ability to compromise, have conversations with those they disagree with?

Scotjen61 December 9, 2009 - 1:02pm

You are such a polyanna. At any rate, it is not a done deal yet, and if we are counting on Reid doing a "fantastic" job we have about as much hope as the folks in New Orleans did after the storm in the face of the "fantastic" work being done on their behalf.

Look, all this is is a new proposed compromised position which will be further compromised once the blue dogs and the ladies from Maine get to start complaining about how much it will cost.

I am a great believer in compromise but that isn't what is happening here. What is happening is a prolonged capitulation from an already compromised position.

If we were getting a robust opening of medicare to 55 year olds I would think this wouldn't necessarily be a bad start on a real compromise, but it looks like it is anything but robust.

When are these guys ever going to show some steel.

hvd December 9, 2009 - 3:57pm

An endorsement from the former DNC chairman could prove to be a big boost for reform's prospects in the Senate. A leading progressive voice and (more importantly) a respected thinker on health care matters, Dean has already played a large role in shepherding progressive support for the latest round of compromises. Sources in the Senate say Dean was the one who pushed the idea of expanding Medicare.

"I'm disposed towards this," he said. "It was part of my platform when I ran for president. But look at this. It makes sense. Why have two bureaucracies, including one who hasn't run this before [the Department of Health and Human Services]... when you can use Medicare?"

It wasn't just the policy of the Senate's version of health care reform that Dean liked. It was the politics. Democratic leadership is set to allow those 55 to 64-year-olds in high-risk insurance pools the option of buying Medicare coverage beginning in 2010 (three years before a proposed public option would come into existence). Which is vital for Democrats, he stressed.

"Because you have got to have people sign up for this thing in 2010 for political purposes. Otherwise we will take it on the chin in the election," said Dean. "If people are actually in insurance they can say, wait a second I'm on this insurance and haven't been brought before the death panel... Actuality is always the best antidote to Republican propaganda."

Scotjen61 December 9, 2009 - 1:09pm

After all, if the Government takes care of people's health care after 55, the insurance companies get to keep more of the money, because the <55 folks are less likely to get sick. Now, the 55+ customers suck up a big chunk of their potential profits. Is there something wrong with this reasoning? Seems like a win win. Unless there is a shortage of doctors who are willing to take Medicare folks (which I hear is the case already in some areas).

creativelcro December 9, 2009 - 3:34pm

The addition the requirement competition in every state among insurance providers, the movement of 55 and older to Medicare would very likely mean lower rates in the remaining pool of folks.

The other feature that is very good in this bill is an expansion of parents ability to cover children until they are 28. The cohort of people aged 20 to 28 is among the highest number of individuals who remain uninsured. This is not a true answer but it is another method to aid in the expansion of coverage. The cut off in the past was I believe 22.

Scotjen61 December 9, 2009 - 5:23pm

sleeping with Republicans, in my humble opinion. They are counting on a backlash from the far left (far in America!) to defeat any universal coverage.

I'm with Krugman and Dean. We need this thing passed this month, and get ourselves over the 60 year hump to universal coverage.

Of course it's imperfect. It is a fuck of a lot better than the current system.

And I am one of the self-employed still screwed by the overhaul.

Get with the Big Picture. Get this sucker passed and get on to some other issues, please.

Tom Robinson

trob December 10, 2009 - 3:31pm

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