Urban Study Group explains why a "Public Option" is needed
By John Amato Saturday Jul 04, 2009 8:00amBlue America's Campaign For Health Care Choice has been awesome and I want to thank so many of you for donating and taking part in our latest campaign to expose Blanche Lincoln's non-support of the public option. You can still participate.
The liberal blogosphere is rising up against the Democratic Senators who up to this point are blocking any kind of health-care reform in America. Adam writes in Open Left: Progressives Got Our Mojo -- Holding Senate Dems Accountable
Fortunately, the public option is not muddy at all. It appears to be one big sweet spot for progressive activism -- with movement actors fighting on Obama's side (and on the side of 76% of Americans) against lame corporate Democrats who are standing in the way of Obama's agenda.
Better news -- progressives aren't missing this opportunity! We're going for it! We're fighting hard and strategically. Check out these five TV ads by movement actors...read on
Hullabaloo found this gem of a report from The Urban Institute:
The Urban Institute has released a study on the public plan option that should be of interest to those who are following this debate. They focus on the competition factor, particularly on the fact that consolidation and concentration have already made any complaints on that count moot, something we've written about here a few times:
This paper makes the argument that a public plan is important to health reform because it will contribute to cost containment, primarily by addressing problems caused by increased concentration in insurance and hospital markets. We describe how the public plan might be structured, how many people might be expected to enroll, and how much money the public plan might save. We discuss the most frequent arguments that are made in opposition to the public plan. We conclude that the private insurance industry would survive at about the same size but be more efficient and more effective in controlling health care spending.
Unfortunately, the debate over whether to provide a public health insurance option as a competitor to private plans under comprehensive health care reform seems to have become an ideological litmus test. Conservatives are fervently aligned against the option while liberals are as strongly in favor it. Those who oppose it fear that the public plan will have so many inherent advantages that private plans will be unable to compete, eventually leaving the system entirely in government hands by destroying a competitive insurance market. Supporters believe that a public plan is a critical fallback option in a universal system that would cover many high-need and low-income groups.
The arguments around the public plan too often ignore what we believe is the central reason for including a public plan as a component of reform: that health insurance markets today, by and large, are simply not competitive. And as such, these markets are not providing the benefits one would expect from competition, including efficient operations and consequent control over health care costs. We believe that the concentration in the insurance and hospital industries that has taken place over the past several years has been a significant contributor to this problem. The role of the government plan is to counter the adverse impacts of market concentration and, in doing so, slow the growth in health care costs.
In this paper, we first describe problems with competition in current insurer and provider markets, in particular focusing on the implications of consolidation in both markets. We then discuss how a public plan could help address these problems. Next, we examine how a public plan might be structured and how much money a plan might save. We address how large the public plan would be and what impact it would have on the current private insurance industry. We then examine the most common arguments against the public plan. We conclude by arguing that private insurance plans would survive but be more efficient and more effective controlling health care spending.
The survival of the insurance companies isn't something I personally lose much sleep over, but this info might be useful to those who need to refute the idea that the insurance companies will all be driven out of business if they are forced to constrain their enormous profits and pay their CEOs less than 15 billion dollars in compensation.








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Medicare part D, and replace it with provisions that enable the Feds to negotiate prices for pharmaceuticals with the BIG PhRMa cabal is worth a shit. It's a waste of the paper it's printed on.
Mebbe I haven't been listening, but I haven't heard a word anywhere from anybody about repealing or rescinding the deal that got mono-browed Billy Tauzin a $2Mil/Yr job atop BIG PhRMa...
It is ridiculous to believe that the corporate representatives in congress will construct a public option that does not screw those who really need it. This is one progressive who will not throw his support for an uncrafted bill, written by corporate shills, that supposedly provides an "option" for indigent patients. By throwing left wing support for this concept, not yet articulated, the LINO's are once again risking capitulation to the special interests, and will be answering for it to the I-told-you-so conservatives for years to come.
I'm sick and fucking tired of compromise. Not. One. Dime. Single payor or let it flame out. I will not submit to a death by a thousand cuts.
http://oxdown.firedoglake.com/diary/6075
Jesus Would Be An Advocate For A Universal Single Payer Plan
HOOEY
(Alice X) I well imagine 'Conservatives' would be against it, the 'Public Option' whatever that is.
If I thought I were speaking for anyone but myself (I'll pretend momentarily) I would say that 'Liberals', were they to understand the proposal would say 'Single Payer' and not this amorphous undefined 'Public Option'.
(Alice X) That might be a reasonable statement but Kathleen Sebelius vowes there will not be a single payer system. My expectation is that it would be so thoroughly booby trapped that it would end up working to the devil's advantage (who is the only one now who knows the details).
(Alice X) Total baloney, the public option should have been the final fallback position in a campaign for genuine reform which should START with SINGLE PAYER.
Don't put the FALLBACK position FIRST.
HOOEY and more HOOEY.
It's time to shine a Spotlight on Senator Dianne Feinstein, the NeoCon in Dem clothing. Californians need to get her out!!! (and I don't mean move her to the Governor's Mansion)
I just read here where Obama is asking all the progressives to STOP ATTACKING DEMOCRATS LIKE LANDRIEU AND FEINSTEIN!!!
Here's the link:
http://www.washingtonpost.com/wp-dyn/content/...
So, I say....LET'S DO A MONEY BOMB TO RAISE MORE MONEY FOR DR. DEAN'S GROUP etc.!!!!
This is great news for the 4th of July! Obama is whining and complaining and telling us to BACK OFF!!
Time to ratchet this campaign up several notches toward SINGLE PAYER!!
Support Conyers H.R. 676! We want it ON THE TABLE NOW!!!!
For those of you unfamiliar with the British parliamentary system, there are two kinds of votes: there are free votes, as on controversial subjects like the death penalty, where each member is released to vote their conscience, and there are party votes, where the whip puts out the order: vote the PM's way or leave the party. Nothing dictatorial about this. This is the way democracies can get things done.
The public option is a party vote. Vote our way, or be happy calling yourself an Independent who can raise his or her own money for reelection, while the party may just run someone against you.
We threw the British, their King and their Parliament OUT starting July 4, 1776.
In case you didn't GET THE MEMO!
---
That was then, this is today…
OBTW
Fuck the PARTIES!
Government of the corporations, by the corporations, for the corporations… and their buddies: the PARTIES.
And it's explained in detail in Theresa Amato's new book, "Grand Illusion".
****Any relation to you John Amato? Wife? Sister? Cousin?****
The book explains how we're all gettin' screwed by our "Two-Party" system. Which is why the powers that be fight tooth and nail to exclude any Third Party candidates.
Notice how they've been shut out of the Presidential Debates since Ross Perot's ascendency???
They simply cannot allow some upstart who's not a member of "the club" to be in charge, now can they???
If the Progressive Wing of the Democratic Party jumped out and created "a third way" I'd be the first to pony up some cash and join. Somebody with bucks who is sick of all the lies and criminality and usurpation of our Constitution should throw some full page ads in The New York Times, The Washington Post etc. and start The Progressive Party. Heck, I wouldn't care if they called it The All Night Party! Just give the Progressives in this country someone to support who's NOT a DemocRAT!
...the American citizenry have been shut out of the freakin; political process since the 1960's. All this political party and election stuff is just a show to keep the peons under control. They just let us THINK our vote matter so we don't get too upset.
Theresa Amato, Grand Illusion: The Myth of Voter Choice in a Two-Party Tyranny (Hardcover)
at Amazon here:
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And see Democracy Now, Noam Chomsky on “Crisis and Hope: Theirs and Ours” - 59:05 here with transcript.
Last paragraph:
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Those illustrious people who think far beyond what I am able are why my moniker is what it is.
I'm still trying to get over the fact that they took single-payer off the table from the start. But to be fair, Obama is just trying to live up to methods he championed in his campaign. If you wanted single pay universal health care you should have supported candidates that campaigned to do that, like Kucinich. That was one of the main reasons the corporate media did all they could to snuff his campaign from the start. If we want progressive change we need to nominate and elect progressive candidates. And we need to figure out how to keep the media from being able to pick our candidates for us. (Sorry, I'm still steamed that with all of Kucinich's good progressive ideas to be discussed, the media tried to make it sound like he talked to little green men from Mars.)
But at the end of the day, I stop and think about where we would be if McCain had won the last election instead of Obama, and a breath a huge sigh of relief. Can you imagine?
This July 4th we should be throwing the Republicans AND the Democrats OUT.
Crossing comments as it were.
(ysbaddaden....are you there??)
Single payer was NEVER "on" the table to begin with! You cannot take something "off" the table that was never on it!
The American People are getting screwed AGAIN! And if the Senate gets it's way, if we don't pony up the cash for "some" policy, we'll be FINED $1000 on our taxes! And if you don't have the $1000 and need to make "payments" guess what the INTEREST is on that "fine"??? It's freakin' hefty!
Here's President Obama in 2003 calling for a "single payer health care system":
http://buelahman.wordpress.com/2009/06/15/oba...
When he was working for the "community" he was "for single payer". Once he jumped into the big leagues he started working for his REAL bosses....corporate America.
We need to convince Obama that he is OUR servant.....not THEIRS!
Actually, I never seen the video where he supported single-pay health care before. I just know that during the campaign I didn't like either his or Hillary's health care plans. Kucinich or Dodd or even Edwards had better plans.
(ysbaddaden....are you there??)
Single payer was NEVER "on" the table to begin with! You cannot take something "off" the table that was never on it!
The American People are getting screwed AGAIN! And if the Senate gets it's way, if we don't pony up the cash for "some" policy, we'll be FINED $1000 on our taxes! And if you don't have the $1000 and need to make "payments" guess what the INTEREST is on that "fine"??? It's freakin' hefty!
Here's President Obama in 2003 calling for a "single payer health care system":
http://buelahman.wordpress.com/2009/06/15/oba...
When he was working for the "community" he was "for single payer". Once he jumped into the big leagues he started working for his REAL bosses....corporate America.
We need to convince Obama that he is OUR servant.....not THEIRS!
First / best man Kucinich taken out from the beginning.
SAD BUT TRUE.
So where can we go from here?
Like it or not, we are stuck with Obama for 7 years, or worse, 3 years of Obama and 4 years of a Republican. We need to make sure the Democratic candidate following Obama is a true progressive.
no one who cares about improving healthcare in America, i.e., coverage every American and improvement in care for everyone, should give a rats ass about the impacts to heathcare avoidance industry otherwise known as insurance companies of healthcare reform - the two (healthcare reform and financial success or failure of insurance companies) are not in anyway related. Anyone who thinks that ensuring financial success of insurance companies has anything to do with improving healthcare for Americans should be tasked to explain why. The ONLY criteria for success of a healthcare system is the health and well being of Americans - period. Any company or institution not part of that solution is part of the problem.
republicans will not vote for any healthcare bill no matter what compromises are made so no should spend any effort even talking to them.
All effort should go into threatening whatever dems are needed to pass a healthcare bill with robust public opotion. Anything short of that
s-i-n-g-l-e -- p-a-y-e-r
not a public plan (compromise, half-a** at best).
yes, the "off the table single payer, not even considered" plan, please.
these linos and dinos compromise so that actual health care delivery fails, either slowly in failed implementation or doa in committee.
senator sanders and congressman kucinich speak for single payer unlike the toady millionaire legislators with their craven advocacy of (monopoly-price-fixing) insurance co's and pharma
docs and rns protesting this in congressional committee were jailed. but not the lobbyists, ins co's or on-the-take/conflict-of-interest congress critters ... seems like mostly the wrong people are jailed
and if these on-the-take congress critters feel a little heat for not supporting the people,
hey: reap::sow
go to health congress...support single payer please!
We don't need no stinking competition! Free market baby!
Besides, we can always trust corporate america to do the right thing. They are really great caring people. Their new commercials say so, and they wouldn't be allowed to put them on our corporate airwaves if they were not telling the truth.
I just know they will do right buy us. We can trust them at their word.
Given that the goal of the public option (so-called) is to preserve private health insurance, the conclusion of the study that "We conclude that the private insurance industry would survive" is hardly surprising.
Stop with these silly articles about liberals saying the public option is great. And stop asking for money to support a campaign for the public option. Any liberal who has done any reading on the topic wants single payer. We don't need to compromise. F the public option.
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