THE HILL
 

Public option

By Brent Budowsky - 09/07/09 05:58 PM ET

As the Progressive Caucus of the People’s House meets with the man Caroline Kennedy wrote would be a president like her father, and the healthcare of the nation may be decided by a Democratic senator from Nebraska and a Republican senator from Maine, it is time for clarity and courage.


First, here is a compromise that should work for moderates and progressives: Congress can pass a bill including reform of private insurers, support for insurance co-ops and a Medicare-like public option that would automatically trigger in January 2013, without any further legislative action, if specific standards are not met by December 2012.

The standards for coverage and cost would be specified. The president would release quarterly progress reports starting three months after enactment.

Moderates and moderate conservatives would be assured that private insurance and co-ops would have every opportunity to work under conditions most favorable to them. Those who believe that private insurers and co-ops will end the abuses will have their chance.

For progressives, the public option would be enacted this year. We would know with 100 percent certainty that clear standards for historic reform would be achieved, one way or the other, by a time certain. Consumers would benefit immediately. Insurers would know that the first presidential-standards report is three months away. Americans will have a steady stream of data proving whether insurers are protecting them or ripping them off. The policy would align with public opinion and the public interest.

As former Senate Majority Leader Tom Daschle so wisely said on Sunday in support of the public option: Its strongest opponents concede the core point: They believe it would be wildly popular with consumers! The reality of a public option, or the certain prospect of it if the industry fails to meet standards, is the one and only guarantee of powerful reform.

Every Democratic senator should oppose a filibuster of the healthcare bill. Democratic leaders would move the bill through normal legislative procedures.

The attacks on this bill have included far too many deceptions, slanders, fearmongering tactics and outright lies that border on fomenting personal hatred toward the president in ways unworthy of any great party, in any great nation.

When a Republican senator on the Finance Committee gives public credence to the lie that the president wants panels that will lead to the death of senior citizens, he is committing an infamy against truth and honor in political debate that is unworthy of the Senate and makes a mockery of bipartisanship.

When a prominent cable talk show host who is purportedly a Democrat uses the occasion of Sen. Kennedy’s funeral to accuse supporters of the public option of being like the PLO, he speaks volumes about the failure of modern news and the weakness of certain Democrats.

When a “senior white house adviser” tells The Washington Post that he cannot understand why “the left of the left” is fixated on the public option, this is not a person whose vision is working for a president like Caroline Kennedy’s father.

On Wednesday the president addresses the nation in a chamber that will have one empty seat too many. If he speaks in the spirit of Sen. Edward Kennedy he will combine high principle with principled compromise and this story will have a happy ending, this presidency will flourish again and we will have a president like Sen. Kennedy’s brother.

Budowsky was an aide to former Sen. Lloyd Bentsen and Bill Alexander, then chief deputy majority whip of the House. He holds an LL.M. degree in international financial law from the London School of Economics. He can be read on The Hill’s Pundits Blog and reached at This e-mail address is being protected from spambots. You need JavaScript enabled to view it .

Source:
http://thehill.com/opinion/columnists/brent-budowsky/57555-public-option

Comments (9)

Thanks for trying, but two things: First, how can Americans rely that in December 2012 :"they" will not have cooked the books — to "show" they have met the "standards"? Second, the uninsured should not have to wait FOUR LONG YEARS to be covered.BY Dorothea Courtwright on 09/07/2009 at 19:19
A good try, but no cigar. The focus should be on providing health care, not health "insurance."Lest we Pres. Obama forget his own logic:INSURANCE LOBBYISTS SAY BY Brett Greisen on 09/08/2009 at 04:01
All these statutory reports and actions, will they actually be done?? The Medicare Modernization Act of 2003 covered all the same bases - the Democrats have ignored all such requirements ! The Trust Fund Trustee Report that Tim Geithner and Kate Sebilius sent over says unfunded liabilities exceed $107 Trillion - the President, House Speaker and Senate Leader ALL ignored the statutory requirement to pass solutions on an expedited basis - for four consecutive years ! The same oversite denial was held on enforcing the MD fees penalty section for four straight years…How can any sane Congressperson dare discuss spending another Trillion Dollars when all public plans are insolvent?? Why have they not enacted any of the reforms showcased in MMA 2003?? 23 public funded demo projects showed savings on Medicaid of up to 20%, higher over time and higher still for the 14% of SSI-Disabled that make up over 60% of Medicaid's cost for the near 50 million on this pure welfare plan, paid from general revenues…??BY OBIWAN on 09/08/2009 at 10:36
BRENT — I Hope you and all your fans had an outstanding Labor Weekend.I suggest that we Dems take baby-steps by accepting anything that sticks to the wall with regard to changing the current insurance system. And then work like hell to make sure it works succeffully and efficiently. Rome wasn't built in a day… It would be worse than a crime if at least part of the HC bill does not go through. I echo Teddy Kennedy's advice to move forward with part-of the bill and not fail 100% by being arrogent and demandind all or nothing. That w/b plain stupid. Secondly, I am not fully prepared to accept the belief that in the event the public option passes, that the government is appropriately prepared to take on such a monumental process. Can you shed light on this concern? The politicians have not shown anything near convincing that the gov can take on what could be a sunami of claims and cases. You know my position as a strong believer that we need a public option, but if we can not handle it responsibly as a government body - it will fail disgracefully. Should this occur, when in any of our life time will another opportunity come along to resurrect another public option proposal. It could be seen as the worst folly ever. We must be fully prepared to take on this responsibility soundly and professionally and not make a mess out of a brilliant solution to the current HC system. In other words, " The slower we go —- the faster we go" - I quote an old friend. There is not necessarily another opportunity for a do over.BY JFK-HRC on 09/08/2009 at 22:28
I agree with Dorothea. I don't see how an opponent of a public option can say it would be wildly popular with consumers, but then try to offer some rationale for delaying its implementation until at least 2012. And then what? Then they'll distort data or claim that the reforms came "too close" to let the public option kick in, making this all a pony show.Those consumers are also voters. If congress isn't acting for what's in the best interest of their voters, choosing instead to give lobbyists and insurance companies several more years to screw people over (the credit card legislation is coming to mind), then they can and should be voted out. Would any of our congresspeople keen on a "trigger" be prepared to give up their own insurance coverage until 2012 and tap into these wonderful reforms under this scenario? I highly doubt it…BY Melissa on 09/09/2009 at 08:44
1: Medicare has sufficient unfunded liabilities to bankrupt the US. It, along with Social Security, are on paths to total insolvency. How can we 'double down' on these programs when there is NO actuarial evidence the programs now in place can be sustained, much less expanded?2: The 'Public Option' (much less any of the 'Health Care' plans put into the legislation path so far) totally ignores the law of supply and demand. How can we give medical care to more people (increased supply, given that people with medical insurance tend to consume more given their insulation from the true costs) with the same or less medical personnel/equipment (steady supply, or even declining supply given all the taxes on medical providers, medical equipment makers, etc. being proposed) without the need for price increases?3: If the need for these 'reforms' are so drastic that it 'must' be done now, why does the plan not start until after 2012? 4: Given some of the earlier comments, how can we the people trust that the requirements for any triggers are followed? At the moment, the trusts factor here is non-existent.BY Doug on 09/09/2009 at 17:27
If you think the insurance companies are going to lower their cost while having a monopoly over the process well I’ve got a bridge to sell you, and I think Wall Street should be completely unregulated too I trust strangers with my money and pollution is good and we should remove the air bags from our cars.When industry has an iron lock grip on distribution and the markets the government is driven by the people to take corrective action, create competition and safe guard the markets.Now is the time poll after poll is shredding the talking heads on television. Americans want a strong, robust real option to the insurance companies. The insurance companies only have themselves to blame. Decades of raping the sick and infirmed over typos and refusing to pay for health care when it is needed has created a lot of angry people out there. Refusing patients care that's what insurance companies do they collect fees for denying care, and denying service. It's fraud plain and simple.Paul BurkeAuthor-Journey HomeBY Paul Burke,  on 09/29/2009 at 11:48
Brent it is plain to see what way you are leaning. Public option. NO! It will put MORE people out of work and the cost of health care will sky rocket. We will pay more for worse coverage. Brent wake up. REAL AMERICANS, the silent majority do not want this option. Sorry Brent but, after reading your article My first thought, oh another stupid socilist.BY Steve Williams on 09/30/2009 at 22:29
People pay more in premiums than what the insurance companies pay to the doctors and hospitals - which is how the insurance companies make money and pay their employees. Which is great. This how many other businesses make money and survive… they buy something from China, make it available in their store for a mark up. Here we have three players - consumer, manufacturer/provider, and the store front.Now the problem with healthcare is - it doesnt work like anyother business - it has way too many players. Imagine that you go to buy milk from a store - and you have to give your Social Security Number, Drivers license, your address, and 20% of the price of milk to get your milk. Then the store person has to enter all that to a computer and send it two a clearing house, from there it goes to an insurance company to which you pay your premiums for your milk needs. Now the insurance company will find ways to deny the payments to the store - that your name is not spelled right, your Date of Birth is wrong, your address is missing a detail - so on and so forth. They deny electronically - but the store can only fight it with phone calls and paperwork. So they cut their cost by going electronic (you can deny payments for silly reasons) - but the cost of fighting goes up for the doctors/hospitals.What can a big player - whether you call it public option or not - can do? They can set standards, they can automate the process lot easier, they can negotiate better rates. Lot of people don't understand that insurance companies like BlueCross pays only little more than Medicare - because they have the scale to negotiate lower rates. If government can set targets and have, say three or four of these big companies (Blue Cross, Aetna, Cigna, United Health) take over the health insurance for 5 years - with a plan to open it up more after it is cleaned up.Right now the problem is - we have WAY TOO MANY insurnace companies, networks, negotiators, pools … we got to flush them all out. This is where the WASTE is … I mean from an administration standpoint. Everyone is coming up with creative ways to make money.Now coming to the real waste of healthcare services themselves (not administration) - we GOT TO address the cost of End-Of-Life care - you can call it whatever you want - DeathPanels - if you prefer. We have to decide (as a country) - should we be spending major chunk (I was told 70-80%) of the healthcare spending in the last year or so of a persons life - especially if the probability of that person surviving beyond a year is very very small and that person has already lived 75 years. Shouldnt that person or his/her family take up bigger share of the costs - as that person gets older than certain age?BY np on 10/02/2009 at 06:22

Add Comment

Name (required)

E-Mail (will not be published) (required)

Your Comments

You need Flash Player 8 (or higher) and JavaScript enabled to view this content

Get latest news from The Hill direct to your inbox, RSS reader and mobile devices.