Jacob Hacker, the UC Berkeley Professor who wrote the original proposal for a robust public health insurance option has an op-ed in Tuesday’s Washington Post explaining why the Blue Dogs are undercutting their own principles by not insisting on a strong public plan.
In fact, the Dogs seem to have everything backwards, and they’ll have some explaining to do to their constituents:
The irony is that the Blue Dogs’ argument — that a new public insurance plan designed to compete with private insurers should be smaller and less powerful, and that Medicare and this new plan should pay more generous rates to rural providers — would make reform more expensive, not less. The further irony is that the federal premium assistance that the Blue Dogs worry is too costly is the reform that would make health-care affordable for a large share of their constituents.
Hacker explains why the Dogs should strenghten the public plan if they’re sincere about cutting costs.
Many Blue Dogs fret that a new public health insurance plan will become too large, despite the CBO’s projection that the overwhelming majority of working people will have employer coverage and that the public plan will enroll less than 5 percent of the population. Their concern should be that a public plan will be too weak. A public health plan will be particularly vital for Americans in the rural areas that many Blue Dogs represent. These areas feature both limited insurance competition and shockingly large numbers of residents without adequate coverage. By providing a backup plan that competes with private insurers, the public plan will broaden coverage and encourage private plans to reduce their premiums. Perhaps that’s why support for a public plan is virtually as high in generally conservative rural areas as it is nationwide, with 71 percent of voters expressing enthusiasm.
And the Dog’s arguments are just as wrong about employer play or pay requirements or reducing eligibility for Medicaid or premium subsidies. The first worsens the federal budget while the latter squeezes indvididuals out of coverage. It’s penny wise, but pound foolish and cruel.
But I doubt Hacker’s op-ed is aimed solely or even primarily at the Blue Dogs. It seems aimed more at wavering Democrats in the House and Senate who assume the Blue Dogs’ are credible. Hacker makes clear that what the Dogs are asking will only raise the nation’s health care costs. They’re asking Congress to give up on the fundamental elements of reform.
Paul Krugman aptly summarized what reform means:
Reform, if it happens, will rest on four main pillars: regulation, mandates, subsidies and competition. . . .
Now, however, they [Blue Dogs] face their moment of truth. For they can’t extract major concessions on the shape of health care reform without dooming the whole project: knock away any of the four main pillars of reform, and the whole thing will collapse . . .
When they’re weakening reforms by listening to the Dogs, Congress is sitting around waiting for Max Baucus’ predictably unproductive "coalition of the unwilling" to tell them what they’ll accept.
And the leaked trial balloon is pathetic: a twisted, two-legged stool with only half a mandate, no weakened employer contributions, insufficient subsidies, a weak, undefined co-op, but no public plan, That adds up to millions more left uncovered and no meaningful competition to force bloated insurers to lower their costs or lose market share.
Hacker and Krugman are telling us the Blue Dogs are blowing smoke and that waiting for the Finance team to fix our broken health care system is a mistake. They’re right. Again.



29 Comments







Suggest also reading Kip Sullivan’s comparison of Hacker’s original proposal for a public option with what the WH and Congress are kluging together.
In case someone hasn’t read it yet.
Thank you for this post, Scarecrow, and recommended. The Blue Dogs are screwing up royally over healthcare. Their constituents, even in conservative districts, will not forget their caving in on this, I suspect. But that’s not going to help the hundreds of people who are dying every day for lack of health care in the meantime.
I think it’s important to acknowledge that even though congress is obviously not proposing the full blown proposal Hacker original described, he’s still advocating that Congress go forward with what House/HELP Committee have and not succumb to the Dog/detractor’s arguments.
tap tap… is this thing on? [tried to respond to your other post, but can’t]
Dunno why. The techie gods control the universe.
the gods apparently do not like my links or something, so i left a reply for you on my own blog.
Per the cited article by Krugman: http://www.nytimes.com/2009/07…..ef=opinion
I, however, am that cynical. Why should the corporatists settle for controlling only one party when, with the help of people like Rahm Emanuel, they can control both?
The U.S. pays between 50% and 150% more per capita than the average industrialized nation for inferior healthcare. That additional money is corporate wellfare:
* The pharmaceutical industry has their no-bargaining and no-import provisions already in the bill and are now supporting it with renewed Harry and Louise ads.
* The AMA already supports the bill because they inflated fee-for-procedure rates are not threatened.
* The insurers have their mandate for everyone to buy their product.
But that public option could perhaps force price competition into the insurance industry, so they and their Blue Dogs are holding out until that threat is eliminiated. And in the course of holding out, they wring their hands over costs and express concern over the cost of it all.
Wait we are stuck paying the same prices for drugs?
Jane/ All they are discussing the blue dog Dems right now on the Diane Rehm show.
Send in your questions call in
drshow@wamu.org 800- 433-8850
http://wamu.org/programs/dr/
10:00Blue Dog Democrats
Fiscally conservative Democrats known as Blue Dogs may hold the key to health care reform. Their demand for greater cost controls are dividing Democratic ranks and could delay House leaders’ timetable for an overhaul. Blue Dog democrats and the future of health care reform.
Guests
Jennifer Skalka, editor of Hotline On Call. She covered the 2006 U.S. Maryland Senate race for The Baltimore Sun. Before that she worked for the Chicago Tribune.
Naftali Bendavid, national correspondent, Wall Street Journal author of “The Thumpin’: How Rahm Emanuel and the Democrats Learned to be Ruthless and Ended the Republican Revolution.”
Congressman Jim Cooper, Congressman Representing Tennessee’s Fifth Congressional District. He serves on the Armed Services, Budget, and Oversight and Government Reform Committees. In 2007 he was named chairman of the Armed Services Committee’s Roles and Missions Panel. Cooper continues to teach as an adjunct professor at the Owen Graduate School of Management at Vanderbilt University, where he has taught a course on health care policy for ten years.
Congresswoman Lynn Woolsey, is in her ninth term as the representative from California’s 6th District, just north of San Francisco. Her district includes all of Marin, and most of Sonoma County. She serves on the Education and Labor, Foreign Affairs and Science and Technology Committees. She is the co-chair of the Congressional Progressive Caucus.
JANE I BET YOU COULD GET THROUGH AS JANE HAMSHER FROM FIREDOGLAKE RATHER QUICKLY.
punch in the number keep pushing redial. dorie the screener is awesome. get three phones going
thanks for the tip.
Call Ed Call/email all MSM outlets the next couple of days
Ask them if they will be covering the Health Care Now march on Thursday. Or should this march have been held in Iran so that we could have received 24 hour a day coverage?
———————————————————————–
Senator Brown ‘we are going to demand the Public option” Sherrod clear..concise…on target
How in the hell can they say that Obama is backing down. He clearly called out the Insurance companies during his speech. Obama “the profit margin should be taken out”
Obama Insurance Companies “have had record breaking profits while the American public is being hammered”
The Republicans and some of the Blue Dog Dems are participating in the “War on Health Care’ How they vote will demonstrate who won? Profit margins of the Insurance Companies or the well being of the American people>
We need this guy on every TV show explaining things. The GOP and Blue Dogs plan will cost more money!
If we force a debate on numbers the GOP and Blue Dogs who voted for Bush’s medical reforms and the Media talking heads who supported that plan are already at a disadvantage if we bring that up.
I want to see coverage of that march on thursday.
At least as much coverage that protesters in Iran have received from our MSm
They will continue to treat their maladies with a compound of pride, their faith, and their passionate attachment to the myth of rugged individualism, just like they always have. Because of the placebo effect, it will actually work — sometimes.
You can’t refute a theology. And the Blue Dogs’ argument isn’t a political one, or an economic one — it’s a theological one. There is no Market but Market…
Since the word theology has as it’s root “theos,” this means that their God is money. Assuming that most of the Cyanotic Canines are somewhat conservative Christians it would a be nice poke if someone could write out a coherent argument showing how much their worship of the Market is Christian heresy; they are both selling out their country and their Lord.
Blue Dogs are just corrupt Democrats in the pocket of those that pay them. That their positions conflict with their stated ideas is irrelevant. These guys have made successful careers out of representing special interests and getting the rubes back home to vote for them anyway. They are hardly likely going to let things as insubstantial as consistency and logic, let alone fairness and compassion, influence their actions.
If we lose this I want all Blue Dogs striped of their committee posts if they threaten to go GOP we get the IRS to look at all their donations, that and if Harry, Nancy and Rahm know anything about Congress now would be the time to bring out the Blackmail they have been saving on the Blue Dogs and the GOP.
I’m not sure that Blue Dogs and opponents of the public option are identical groups, but I am sure that if scratch an opponent you find someone like Baucus or Ross who has personal financial consequences in how this bill goes.
The Blue Dogs are against it for fiscal reasons is, I believe, a meme put out by the opponents to try to cover their tracks.
We should find consequences for the opponents.
If Blue Dogs decide to support a real public option, I would be willing to reward them with a begging biscuit. I believe that is how you change their behavior.
May i quote you, please?
Hey guys, if I heard this correctly, Howard Dean will be hosting Countdown this Thursday and Friday, specifically to cover the health care shenanigans. Anyone else hear that? should be good.
He was quite good on Rachel Maddow’s show. He hadn’t heard yet about the Baucus “compromise”, so when Rachel told him, he blew it out of the water. He said it was OK, but it wasn’t going to cover more people. It would not reach the goal of covering more people.
Cool I wonder if he will do a Special all HealthCare show?
CORRECTION:
He’ll guest host Countdown with Keith Olbermann this Tuesday (TONIGHT) and Wednesday. Lawrence O’Donnell will guest host tonight and MSNBC analyst Richard Wolffe will guest host again Thursday and Friday. Olbermann returns to cable next week.
Hope they get their cameras out on the streets for the Health care march on Thursday. We know they would if the march was in Iran
tom tomorrow hit the profit motive on the head
http://www.salon.com/comics/tomo/2009/07/28/tomo/
Literally! Ouch.
good one, thanks for sharing it. :}
That checks with what I am seeing around here.
Which argues for conservative Democrats, and there are a few Firedogs who probably are, should start whipping the Blue Dogs and New Dems who have not specifically criticized the public option to commit to the Pledge.
Especially those, like Larry Kissell, who have received netroots contributions.
I would think that Talk of the Nation will be focused on Health Care today. They do not post the topic of their show until 2;00 p.m. Calling into and emailing your guestions in takes the debate to many listening. Screeners want your question to be on target and concise. Sometimes I give them what I think they want to hear (some screeners do have agendas) and then get on air and ask what I want.
Will not be listening to the show today…mowing
a perfect moment to get a piece of information out there and then ask your question.
http://www.npr.org/templates/s…..?storyId=5
email…talk@npr.org
1-800- 989-talk
Hoping that folks get on and mention the march on Thursday
http://www.healthcare-now.org/
Medicare: Made in America
Lobby Day and Rally – July, 30th
Celebrate Medicare’s 44th Birthday by showing Congress and President Obama that unions, doctors, nurses, seniors, faith groups, and Americans of every stripe support single-payer healthcare.
The best way to save this system is to expand it and make it a truly single-payer system by removing the for-profit interests.
Polls consistently show that the public supports a Medicare for All system, and 59% of physicians support it. In the face of inadequate reform to our health care system, we want Congress to make sure our voice is heard.
So, the Leadership Conference for Guaranteed Health Care is launching a rally and lobby day on Thursday, July 30th in Washington DC.
I don’ know whether to laugh or cry about this slow motion train wreck.
The simple and obvious truth is single payer is the only solution that makes any sense and there is no rational evidence-based argument against it.
Nevertheless, with a Democrat in the White House and democratic majorities in both houses, single payer was excluded from consideration without public debate before the first health reform bill was drafted.
Everything that’s happened in Congress, since the first bills were stamped, dropped into the boxes in both houses, and assigned to committees, proves beyond all possible doubt that our government is unrepentantly corrupt and broken beyond repair. Moreover, this self evident truth isn’t limited to health care reform. The message is hammered home every day. We the People are irrelevant. We do not matter. Our humanity has been denied. We are nothing more than resources like oil or coal to be exploited at will.
I favor expanding the VA in which “full access” is available to all. And of course, my Kudos to Phoenix Woman for posting a new thread on the VA for this past Saturday, and in which I participated and expressed myself.
So, for today, I offer the following: When the Neo-Liberals, representing the insurance industry, whistles, the Democratic ‘dogs heel due to their prior history.
And as for me, I adhere to the dicho, “Hasta los gatos quieren zapatos!” And if you understand Spanish, you’ll quickly “get it!”
Jaango