Daily Kos’s mcjoan informs us that The Third Way, a group of Congressional centrists, is proposing a "hybrid" health care "reform" plan that guts the public plan option. That news was followed by a letter to President Obama from nine GOP Senators (all GOP Finance Committee members except Snowe) warning the President against the inclusion of a public plan alternative to private plans.
Third Way’s version isn’t new; it’s an extreme version of the "hobble" concept I described here, that pretends to allow a public plan as an alternative to private health insurance, but then deliberately hobbles the public option to ensure that it can’t effectively compete with private plans.
Virtually every sentence of the introduction to the Third Way’s draft tells us their sympathies lie with the major private companies who, heaven forbid, would face "unfair" competition if consumers had a decent public plan to choose instead. Consider this opening paragraph:
Whether health care reform should include a “public plan” is an issue that now threatens to fracture the emerging consensus on health reform. If left unresolved, the debate over a public plan could derail the broader reform agenda while other pressing issues central to reform are put on hold.
So the problem is "the debate over a public plan." It’s not the fact that the current mostly private system has utterly failed Americans. You’d never know that the twice-too-costly system we have has rationed 46 million out of any coverage while limiting care for the supposedly insured by denying coverage of pre-existing conditions and denying/delaying/underpaying their claims, becoming a major cause of bankruptcy. No, the problem is people insisting on an alternative to this intolerable system.
And it’s those advocates of reform who are upsetting a near consensus on how to solve the problem without that alternative. On which planet?
"The proponents of a public plan seek the right goals — to broaden access and lower costs," the Third Way continues, conveniently leaving out Obama’s statement that we need to give consumers a choice that will put pressure on private plans to "keep them honest." Instead, we have to protect the private sector and Harry and Louise:
But there is a very real danger that an overly intrusive public plan can ultimately undermine these very goals and destabilize the private-sector coverage that middle-class Americans—i.e., Harry and Louise—depend on and are largely satisfied with.
The Intro then misrepresents "reforms" proposed by the industry by ignoring the fact the industry’s willingness to cover more people comes conditioned on (1) government guaranteeing their markets by imposing individual mandates and subsidizing people who can’t afford the premiums and (2) the absence of any public alternative. But Third Way’s brief for the private sector is only beginning:
But while a heavy hand from government might be destructive, the invisible hand of the market is also not enough. There’s no question that the health insurance market needs reform and that for too many middle-class Americans, health care coverage is too unstable.
To Third Way, "too unstable" means we shouldn’t force the private plans to compete, because they might lose market share. To avoid that "destructive" effect, the market’s "invisible hand" should include a very visible government mandate and subsidies to sustain the industy’s excessive cost and profit structure.
Is it possible for Third Way or the GOP to be any more transparent about it’s shilling for the big insurance/Pharma industry? We don’t need to look too far for the reason. As FEC reports and watchdog groups repeatedly tell us, the Third Way members have received millions of dollars in campaign contributions from the industry they now seek to shield from effective oversight and competition.
You can start with FEC reports for individual members like "honorary Senators" Evan Bayh and Carper, or track contributions from one or another industry corporations and PACs; the story is sickening. These folks have been pumping hospital, insurance companies, health providers, and big Pharma for millions of dollars, and the industry is now demanding its due.
The nine GOP Senators who warned the President about a public option are feeding at the same trough. According to a press release from the Public Campaign Action Fund, which has been poring over the FEC reports:
Washington, D.C. – The nine Republican Senators who sent a letter today to President Barack Obama to express their opposition to a central part his health care plan have benefited greatly from health care and insurance industry donations, a new analysis from Public Campaign Action Fund shows.
The Senators have collectively taken $17.7 million from insurance and health care interests, according to data analyzed at the Center for Responsive Politics website, opensecrets.org. That amounts to nearly $2 million per Senator over their careers.
“Americans want a government that is responsive to our needs, not a Congress that listens to its donors from the insurance and health care industry,” commented David Donnelly, national campaigns director of Public Campaign Action Fund. “These Senators appear to be carrying water for their donors at the expense of advancing health care reform.”
All nine Senators sit on the Senate Finance Committee, which is actively engaged in debating health care reform. The nine signers include Senators Chuck Grassley (R-IA), Orrin Hatch (R-UT), Jon Kyl (R-AZ), Jim Bunning (R-KY), Mike Crapo (R-ID), Pat Roberts (R-KS), John Ensign (R-NV), Mike Enzi (R-WY), and John Cornyn (R-TX). Senator Olympia Snowe (R-ME) was the committee’s only Republican Senator not to sign. Sen. Snowe has taken $1.1 million from the same interests, less than all but two of the signers.
Update: HuffPo’s Ryan Grim, Third Way authors were once industry advocates, and Third Way responds



36 Comments




If they refuse to allow a public option then competition won’t appear and another means would have to be used to restrain (or lower) costs and to ensure everyone is either insured to receives proper care.
I don’t think I’ve heard any other suggested means of creating more competition in the health care & insurance industry, so I don’t think we can depend upon our Repub friends to think of one.
Isn’t it curious that they say they recognize there’s a problem, but they aren’t willing to say free market capitalism in the health care area has failed? Neither do they say what aspect of this industry is flawed and must be fixed. I suppose their mythological belief is just too important to them to look at Reality and deal with that. And, because their ‘faith-based’ approach is so important they aren’t much interested in letting anyone else change things either. This is probably categorized as a mental illness in some psychotherapy book.
If they can kill the public option, then we need to push the cost of subsidizing the poor (that a public option would utilize) onto the health care & insurance industry. After all, they’ve got plenty of money to cover everybody already.
Maybe we should just tax the industry sufficient to hand out money to those who need help to buy insurance. They could raise their rates to maintain their profits and gov’t could raise the taxes and so on until it all collapses.
We could impose price caps/controls (a la Nixon).
We could set standards for individuals to qualify for gov’t assistance and those who qualify could be allowed to ‘buy’ insurance which the insurance company would then ‘pay for’ themselves.
Maybe the health care & insurance industry don’t realize who angry the public can get over high prices & mediocre care.
Maybe we could just increase court judgments for malpractice and then change standards, so much more would be considered malpractice.
There are myriad ways to push the costs onto the industry…if they won’t allow any other way.
we’ve either got the votes to pass it .. or we don’t ..
One of the things that seems to get lost in this discussion is that employees are already paying for health insurance, it’s just that they don’t realize it. Whatever money us spent by the employer on health insurance comes out of the overall compensation pot. When talking about how to pay for universal coverage, the costs already being paid by employers/employees need to be put into the mix. I may be dreaming, but I see the best solution as creating a social security kind of trust fund that everyone pays into and that is kept from the uncertainties of annual budget fights. It seems Britain’s system got into trouble when the Thatcherites reduced funding dramatically and that should be a concern. Continuing coverage through employers will remain problematic because people are not staying with one company for a lifetime as they were some fifty years ago when the current system really came into its own. My 2 cents.
Your correct about the compensation. See the chart in this Ezra Klein post, which shows that all the compensation “gains” in recent years have gone straight to the pockets of the insurance companies.
http://voices.washingtonpost.c…..e_r_1.html
Only the nine Republicans? I’m thinking that Obama’s uppermost concern is that the private for-profit system remain intact and unhindered in its plunder by anything else currently being contemplated in sound-bite form. It’s your garden variety 歌舞伎.
the public plan in competition with private insurance IS ALREADY THE THIRD WAY (with something like single payer universal health care being the progressive position — and favored by the general public).
i’m calling these yokels the “no way fourth way”
private schools compete very nicely against public education, no reason on the planet a private health plan couldn’t compete equally as effective
I personally believe there should always be private choices to public plans, for instance;
cabana club competing with public beach
country club competing with parks
private school competing with public education
checks and credit cards competing with cash
etc
I think the public plans become more efficient and effective as do the private plans when they both compete against each other
in fact it’s this choice that argues the point against the claim that this is socialism, so long as the private sector can compete it is not socialism at all
Maybe a public action in the home states via phone calls, LTEs, etc. should remind the nine that their insurance cronies won’t be in the election booth and those of us who will shall have long memories.
if you want to see the model for these thieves, albeit on a smaller multi-billion model, look at the Part D of Medicare, the drug benefit; an almost mandate drug benefit with millions of new customers for industry, heavy federal subsidy of the cost going straight to industry, a ban on price negotiation by the government, and no public plan.
or look at Medicare plus–which is MORE costly than Medicare and the extra bucks go straight to industry; without the subsidy they could NOT compete.
A mandate to purchase insurance WITHOUT a public option is nothing more than a license for insurance companies to pick our pockets. Any “subsidy” for low income individuals is just a subsidy for health insurance industry overpricing. We need to stop this thing before we get an even WORSE system than we already have. And the issue of taxing employer-provided insurance – is this really just a stealth payroll tax increase?
and when the third-way crowd points to Britain and Canada and say how there is a waiting list and all that other bad stuff in how a public system works, I point to Medicare and note how many tens of millions are served and oh, by the way, do you know anyone over 60 with a knee replacement. How long did they wait for that?
bingo
1. health care insurance is profoundly different than the examples you give. for example, health insurance companies compete by competing for not sick patients. if a public insurance plan doesn’t follow that business model, it will end up with the sickest patients and therefore the highest costs.
2. there would be plenty of competition where it really matters – you could go to any doctor, any hospital. not just the ones your private insurance companies includes.
did you watch bill moyers a couple of weeks ago on this topic? i like what donna smith said re the socialism debate (my bold):
“free market” competition is not always the most efficient solution. see medicare
I like your thinking!
And don’t forget this. All members of congress and their staffs get the “public option”. Same as all govt employees-like me-the biggest difference between my BC/BS and anyone outside my plan is that I can not be dropped due to illness. Then there is the option month every year where if I want I can change to a different plan. But the senators-both parties, do not fool yourselves on that-who are against a “public option” are hypocrites because they use a public option.
Also when they make wild claims about how a govt plan would be terrible they all seem to forget that we have had a public govt owned and operated plan since the 60s. Medicare, which uses less than 3% of all monies for administration. Unlike private plans 30% or more.
Having used my health insurance a great deal I can also state that when using my govt provided BC/BS I pay much less than the retail charges. Example, a 2 week stay in a local hospital, the bill was for well over 25,000 yet my insurance payed less than 5,000 and I payed lass than $150. So what exactly are these senators using for their “facts”. I know nothing about private BC/BS, but my federal BC/BS is a non profit, they have made deals with everyone and so pay much less than others do. Hell, just open up the federal insurance plans to everybody and set the rates as to who pays what part. I pay $105 a month, my previous employer in the FedGov pays the rest-I have no idea what their share is. So why couldn’t we do this for everyone??My wife, on the other hand, gets her health ins for free from her former employer and only pays a low deductable. All her meds are also free. Wish I had her HI.
imo, at the very least, the bottom line any national health care reform must include the option for states to chose single payer universal health care.
bernie sanders has submitted a bill, S.898, for that purpose::
I just saw Tom “Wimpy” Daschle on cable this morning whining that the possibility of passing a bill with a public option is only a 50/50 chance now…moaning “I really want this to happen, but….”
With leaders like Tom, Reid and others, I’m more and more convinced that the Insurance and Health Industries will be able to block ANY PUBLIC OPTION in this Health Care Bill, which will effectively kill any chance that it will escape from the greedy clutches of the powerful Insurance industry and be affordable to most of the public.
And it’s great that Obama is actually pushing for the public option finally, but he should have jumped in with both feet immediately…the Republicans have managed, with their lies and half truths about Government involvement, to control the message in the media.
The argument that the Insurance Companies will be on uneven ground if the US Government is involved and may go out of business is absolute BS….if they can’t compete and offer more affordable insurance to people, THEY SHOULD GO OUT OF BUSINESS!
By the way, is that Stephen Colbert on the cover of that old horror magazine?
i like the idea of requiring all members of congress and their staffs to be on the public option if there is one. if they have to pay out of their own pocket (give them a raise to compensate) then their interests will be aligned with ours because they will have a personal incentive to make the public plan decent.
brilliant.
The single-payer philosophy says that health care is not a commodity. The the role of a free market doesn’t enter into it, therefore.
i’m on board with that.
but what do you suggest if someone wants to argue the benefits of competition?
haven’t worked my way through all Scarecrow’s links yet so this may be redundant:
I think that if someone wants to pay an extra 30% for private coverage they should be able to.
I would suggest they reveal the benefits of competition for all to see. I’ve seen nothing so far that includes everyone, prn.
We’ve seen the space program dominated by giant corporations who always win the contract bidding. Why is this so? Are they that good. Is it a matter of economies of scale? Would we see similar patterns with single-payer? I’m not sure whether vendors and other service providers in a single-payer system would be able to get a fair shake, bidding for contracts. Any thoughts?
Who are they talking to who are satisfied with the status quo?
With NO public option included.
There must be a clear road to a universal plan included in this “reform” or it is a cold and deliberate SHAM.
Big discussion on this topic over at the big orange.
Oh I’m so going to register http://www.byeBayh.com!
where in bloody hell is Senator Kennedy ?!?!
and can you believe anyone is still fronting the False Gods of “Free Markets” and “Invisible Hand” at this stage ?!?!
My biggest fear is that we’ll end up with a government mandate forcing everyone man, woman and child to buy a private insurance policy. My nightmare, of course is the insurance company’s wet dream.
Then they will have no incentive to keep costs down, because we’ll have to buy it anyway.
Open Left has also being doing great work on this
http://www.openleft.com/showDiary.do?diaryId=13692
preach it brother!
You can see this as pushback from the Baucus camp against Obama’s re-entry into the debate.
Or you can see it as Republicans taking another extreme position which will allow Obama and the Democrats to propose a public plan that really sucks in the name of “bipartisanship”. All or nearly all Republicans in the same bipartisan spirit will vote against whatever bill comes up anyway.
It is always important to remember that just because the Republicans are evil on this doesn’t make Obama and the Democrats saints.
Kennedy can’t be in D.C. because he is dealing with a serious brain tumor. His Committee Staff continues to work on this.
Senate Feels Kennedy’s Absence in Health Care Fight
Start with, oh, say:
In Canada, health care spending is about 10% of GDP
In the US, it’s about 17% of GDP.
In Canada the cancer recovery rate is better than the US.
Then you could detail all of the other illnesses where Canada exceeds the US in recovery and cure. Then compare the average lifespan, and the infant mortality rates of both countries.
And close with the idea that health care is a right in any civlilzed nation in the 21st Century, and that the ‘competition’ model is not appropriate in a matter where people are so vulnerable, because when you lose your health you lose your life, emotionally and practically speaking.
Conclude with the notion that ‘competition’ or making obscene profits is not some sacred corporate right that is to be worshipped, or that the US will cease to exist because we raise the standard of living among all citizens because accessible health care has been elevated to the level of a basic right for all US citizens.
Harry and Louise… That’s one of the vague ‘talking points’ that pols or lobbyists cook up that is totally without foundation, but which is hard to refute unless you have enough time to acccess current polling that asks the right questions on the (or any) matter.
Yes and no Jkat. There are more votes we can get if we ask, and demand them. People need to tell their CongReps they want a public option. We can turn out votes that might not be there today.
I agree with Prairie Sunshine, too. If we don’t get it this time around, vote the bastards out and get people in who understand our health system will not work well without a public option.