July 14, 2009
THE 'VERY CLEAR ADVANTAGES' OF A PUBLIC PLAN.... Yet another liberal Democratic lawmaker, anxious for real health care reform, explained recently that a public option would offer significant cost savings, is "designed to save money," and has some "very clear advantages." This is all true, of course, but it's an assessment we've heard before.
But what's interesting about these comments is that they didn't really come from a liberal Democratic lawmaker, but rather a conservative Republican -- Rep. John Kline (R) of Minnesota, who opposes a public option. Here's Kline talking to Minnesota Public Radio's Tom Crann about the health care reform effort. (via MN Progressive Project)
KLINE: ...[T]here are some things in this legislation that I find particularly troublesome.
CRANN: Such as...
KLINE: Well, the public option. The so-called public option. The proponents of the legislation say you need a public option to foster competition. But the way it's being set up, the playing field will be increasingly tilted towards the public option. We've seen studies already that say up to 23 million Americans would very rapidly be moved from the insurance that they have into the public option. There are ...
CRANN: Isn't the public option primarily for the currently uninsured now?
KLINE: Well [chuckles] that's the, that's the claim in many cases of the proponents, but our fear is that if you actually get in there looking at the legislation that it's set up in a way that employers would increasingly opt to letting their employees move over to the public, to the public option. And because it is cheaper, it's designed to save money, the government-run program has some very clear advantages, and the claims that it's gotta pay for itself that through the first three years of this there would be government subsidies."
Usually, Republican House members are far better at using scare tactics. Indeed, as arguments against the public option go, Kline's nightmarish vision of a cost-effective program with "very clear advantages" doesn't sound scary at all.
Brian Beutler added, Early indications suggest that the public option will much more than pay for itself. But no matter. I assume that public opinion polling must show overwhelmingly that Americans want to pay more for health care so that insurance companies don't have to contend with a superior, cheaper competitor. Otherwise it's hard to understand Kline's statements anything other than a call to subsidize insurance companies -- and no elected official would ever stand for that."
—Steve Benen 9:25 AM
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i like the [chuckles] makes me thinki the dude probably talks like old mr. rogers.
the insanity is way out of the box these days among the repubs; you'd think they would listen to themselves talking or revisit the video...
Posted by: neill on July 14, 2009 at 9:27 AM | PERMALINK
You are missing his point, perhaps deliberately. Republicans are against anything that reminds them of socialism, whether it works or not. The idea of being on a public run system is unbearable to them.
But, the next question I woudl ask is: is the public option designed to work, if EVERYONE moves over to it?
Posted by: Chris on July 14, 2009 at 9:32 AM | PERMALINK
Republicans are against anything that reminds them of socialism, whether it works or not. The idea of being on a public run system is unbearable to them.
This is correct. For Republicans, "public" is bad no matter how good it is. This is precisely what it looks like to be beholden to an ideology.
Posted by: brent on July 14, 2009 at 10:02 AM | PERMALINK
.
Our first violation of basic conservatard principles was opting for a socialistical "public" military, which pretty much put the free enterprise warlords and private Mom & Pop militias out of business. Next thing you know, they were trying to pry our bazookas out of our cold dead hands! But I still intend to be buried with mine.
Likewise on the universal single-payer national healthcare. You might as well just tell poor people that anyone can be healthy, regardless of class! Where's the incentive in that? If you can get the same healthcare as me without being born rich, why should you bother to be born rich? Socialism!
I'm against this so-called public option unless it doesn't kick in till after a "Plague-Trigger." "Bring out your dead" could become as popular a slogan as "Intel Inside," again some day if we would only apply conservatard principles!
.
Posted by: cosanostradamus on July 14, 2009 at 10:11 AM | PERMALINK
Strange that the Party which has prided itself on screaming that government regulations are stifling business, especially, small business enterprises, don't want those firms to have the burden lifted of providing health insurance for their employees.
Why, yes, Rep. Kline, firms might indeed have more money to use for actual business needs. Might even help them to remain competitive. Sorta like "lifting red tape and regulations" from the backs of business, eh?
Posted by: berttheclock on July 14, 2009 at 10:11 AM | PERMALINK
What a crock of shit. The bottom line is that private insurance companies have a monopoly, they are squeezing the consumer dry, and even if you have coverage you'll get dropped like a rotten egg should you get sick and make an expensive claim.
The public option is the only way to combat this, and ANY politician that is against the public option but is supposedly a free market capitalist is a lying son of a bitch.
Ask your congressperson, what is more important, the health of human beings or corporate profit?
Posted by: citizen_pain on July 14, 2009 at 10:24 AM | PERMALINK
The belief that a viable public option would actually work out too well for the public's interest should be enough to remove from office any politician that votes against it.
Posted by: qwerty on July 14, 2009 at 10:45 AM | PERMALINK
berttheclock,
That's a point about the public option that has not been discussed extensively by either side, and I would like to see it given more attention. The public option will make it more likely that employers will drop their contribution to health benefits, so the public option has the effect of a huge subsidy or tax cut for businesses. It seems to me that the Democrats should either try to prevent this outcome, or else try to take advantage of it as a sales pitch to win business support for the public option.
Posted by: Daryl McCullough on July 14, 2009 at 10:47 AM | PERMALINK
Usually, Republican House members are far better at using scare tactics.
Those are indeed the scare tactics. Nothing is more frightening to a Republican than the idea that any government program might actually work. The trouble with the GOP is they don't realize that any successes they've had in the past were based on obscuring what they were really afraid of (dark people, for example), not articulating it.
Posted by: Roddy McCorley on July 14, 2009 at 10:56 AM | PERMALINK
Chris,
I believe the public option will be designed so that not everyone will want it, meaning that it will be a minimal sort of basic coverage. Most of the middle class, for example, will probably prefer to stay with their private insurance.
Posted by: Paul on July 14, 2009 at 11:02 AM | PERMALINK
Let's not forget that if business' are freed of the burden of providing health care for employees, if in fact that is what they CHOOSE to do (choose being the operative word here), that will free up a lot of money for investments, expansion, hiring, innovation.
Isn't that the core fundamental republican belief, that it is small business innovation that is the fuel of our economic engine?
Posted by: citizen_pain on July 14, 2009 at 11:05 AM | PERMALINK
Are PO proponents really making it clear enough that what's being reformed and "collectivized" is the insurance end, not the provider end? I already know that the critics aren't!
Posted by: Neil B ♪ on July 14, 2009 at 11:21 AM | PERMALINK
Progressives, we are not hearing what the Blue Dogs are saying, and we ignore them at our peril.
They are NOT saying that the public option will save money in the long run. They are saying that 1)the public option will be subsidized; 2) that the subsidy will create a price difference that will draw all the users over to the public plan; and 3) then the subsidy will grow dramatically because all the people have switched over; and 4) the public plan will become this incredibly expensive monster that will be manipulated politically, rather than via the market, and therefor make a huge, ineffective, expensive mess.
Read this again in that ilght: "And because it is cheaper, it's designed to save money, the government-run program has some very clear advantages, and the claims that it's gotta pay for itself that through the first three years of this there would be government subsidies."
Now refute items 1-4 from my scenario above. It can be done, but neither Steve nor any of you have done it.
Posted by: Dollared on July 14, 2009 at 12:10 PM | PERMALINK
It's hard to refute because, like a repug budget, it has neither numbers nor details. Without knowing what the charging mechanism will be for non-welfare cases, it's hard to know how it will play out, or how the "subsidy" will relate to anything else. If for example, the average non-welfare case will contribute a tax amount, calculated to match the equivalent total employer contribution for that pool of people, then 3 may not be true at all. And then projected admin cost savings will mean far from 4 being true, the plan will save money.
But then, we're talking about lawmakers here, so they are supposed to know the details - and if the details are that bad, why aren't the rest of the dems bitching about them?
Posted by: royalblue_tom on July 14, 2009 at 5:12 PM | PERMALINK
I think it's pretty easy to refute:
1. Show how much you plan to charge for non-subsidized insurance.
2. Show your planned cost.
3. Show how much savings from admin cost reduction
4. Show how much savings from negotiated reimbursement rates and drug purchase prices
5. THEN Show how much cost from subsidizing the insurance for your target population
6. THEN Show how many additional people you cover because of the subsidy.
The point is to force the maximum of cost reduction and make it visible and then force the discussion to be about how many people you want to cover via the subsidy. There re many liberals who want to hide that last calculation so it doesn't get cut. I don't want it to get cut, but I want the greater transparency and greater cost savings, and am willing to have a very clear and open fight about the subsidy.
Posted by: dollared on July 14, 2009 at 7:47 PM | PERMALINK