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#301990 - 07/02/17 02:14 PM Public Option is the ONLY Option
NW Ponderer Offline
Moderator
Carpal Tunnel

Registered: 09/09/11
Posts: 15537
In 2008-9, when the original forms of law that eventually became Obamacare (PPACA) were being formulated, they included a "public option" for health insurance. Public Option - Wikipedia. Some referred to it as "Medicare you can buy into".
Quote:
The public option was featured in three bills considered by the United States House of Representatives in 2009: the proposed Affordable Health Care for America Act (H.R. 3962), which was passed by the House in 2009, its predecessor, the proposed America's Affordable Health Choices Act (H.R. 3200), and a third bill, the Public Option Act, also referred to as the "Medicare You Can Buy Into Act", (H.R. 4789).
Indeed, Public Option was included in the version of the ACA passed by the House - "but was removed after Sen. Joe Lieberman (I-CT) threatened a filibuster."

Two complaints often brayed by Republican insurance company toadieslegislators is that 1) Democrats haven't proposed any solutions,* and 2) in rural counties, private insurance providers are pulling out of the exchanges. The first is untrue, and the second can be instantly fixed by a public option. (* "In January 2013, Representative Jan Schakowsky and 44 other U.S. House of Representatives Democrats introduced H.R. 261, the "Public Option Deficit Reduction Act", which would amend the Affordable Care Act to create a public option. The bill would set up a government-run health insurance plan with premiums 5% to 7% percent lower than private insurance. The Congressional Budget Office estimated it would reduce the United States public debt by $104 billion over 10 years. Representative Schakowsky reintroduced the bill as H.R. 265 in January 2015, where it gained 35 cosponsors." Wikipedia, footnotes omitted.)

Quote:
The biggest political selling point about this is that a public option would be just that, optional. Call it “Medicare for all, if that’s what you want,” perhaps. Or rebrand it entirely as something like “Medichoice,” to take its place alongside Medicare and Medicaid. By doing so, Democrats could avoid a tsunami of Republican negative ads which screamed: “Washington bureaucrats are going to force you into their plan!” But unlike universal single-payer, Medichoice might actually have a prayer of garnering Republican votes and passing this Congress.
Democrats Should Bring Back The Public Option - Huffpo (opinion).

I can pretty much guarantee that in rural America, a "MediChoice" plan (has a ring to it, doesn't it?) would be gobbled up in an instant. Initially, it could be made available wherever "one or fewer" providers offer an ACA-qualified plan in this or the preceeding two years. MediChoice would compete with existing plans. The problem for those insurers, of course, is that MediChoice, like Medicare, would be much cheaper to administer and have much lower overhead - thus would compete favorably. That's why the industry and its spokespeople (e.g., Joe Lieberman) hate it so much. Another inclusion in legislation that would bring costs down precipitously would be allowing MediChoice/Medicare to negotiate prescription prices (just as all other insurance plans do).

Benefits of this approach are legion: Doctors and patients would love it! (74% of doctors supported this option in 2009). It would "level the playing field" in rural America. It supports competition! It is optional! What's not to like?
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A well reasoned argument is like a diamond: impervious to corruption and crystal clear - and infinitely rarer.

Here, as elsewhere, people are outraged at what feels like a rigged game -- an economy that won't respond, a democracy that won't listen, and a financial sector that holds all the cards. - Robert Reich

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#301993 - 07/02/17 04:01 PM Re: Public Option is the ONLY Option [Re: NW Ponderer]
Jeffery J. Haas Offline


Pooh-Bah

Registered: 08/03/04
Posts: 12732
Loc: Whittier, California
Joe Lieberman was an actual Democrat back when he destroyed the Public Option.
_________________________
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#301995 - 07/02/17 05:17 PM Re: Public Option is the ONLY Option [Re: NW Ponderer]
rporter314 Offline
old hand

Registered: 03/18/03
Posts: 6211
Loc: Highlands, Tx
NWP .... you are trapped in a bubble

After reading your comment it reminded me of news reporters trying to impute rational meaning to what Mr Trump, a known narcissist, says and does. He has a personality disorder and everything he says or does only has meaning for him to prop up his ego.

Likewise conservatives do not care what reasonable, rational plan you have if the federal government is involved. It could cost nothing and cover everyone and they would still be against it. Idiot-ology is their safe haven. It is their refuge and if you believe something involving the federal government which is reasonable and rational and cost effective would entice them to consider it then you are in a bubble.

1860 ... does it ring a bell? The country was divided on whether the states had certain rights or the federal government could impose certain laws on the states. We are at the same impasse.
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#302116 - 07/08/17 05:50 AM Re: Public Option is the ONLY Option [Re: NW Ponderer]
NW Ponderer Offline
Moderator
Carpal Tunnel

Registered: 09/09/11
Posts: 15537
GOP ideology is straightjacketing the American economy. It has been well established that Republicans are good at destroying viable economies. What is less well understood is why, but the Health care debacle is a good illustration. Republicans, based on ideological predisposition, look for "market based solutions" for every issue. This approach is bound to failure for at least three reasons:

First, Americans don't care about "markets", they want Health care. They know they have to pay something for their care, but they are afraid of bankruptcy (a rational concern). Second, health care is not an ordinary market. Here they confuse "economic activity" with a "market". Not all economic activity implies a market. Police and fire protection, standing armies, judicial conduct and prisons, all have economic effects, but they're not "markets", and thinking of them like that creates perverse effects (like private prisons).

Finally, by trying to shoehorn Health care into the wrong paradigm, they are actually distorting our economy in very detrimental ways, which is why we overpay for substandard health services. Moreover, it creates a national disadvantage in global markets. In nations with national Healthcare systems, Healthcare is not a direct burden on companies actually competing in marketplaces. It's like trying to fight with one hand tied behind your back.
_________________________
A well reasoned argument is like a diamond: impervious to corruption and crystal clear - and infinitely rarer.

Here, as elsewhere, people are outraged at what feels like a rigged game -- an economy that won't respond, a democracy that won't listen, and a financial sector that holds all the cards. - Robert Reich

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#302125 - 07/08/17 06:20 PM Re: Public Option is the ONLY Option [Re: NW Ponderer]
pondering_it_all Offline
veteran

Registered: 02/27/06
Posts: 7098
Loc: North San Diego County
The whole idea that healthcare operates as a free market shows they are out of touch with reality. When you need a medical service, you don't shop around for the best price. That describes a cash patient, who will pay 5-10 times the insurance company negotiated rate for the service.

Anybody with any sense gets a policy that is limited to certain medical groups, finds a primary care provider within a medical group, and then sticks to that provider and specialists in the medical group he or she recommends. Where does any opportunity for shopping come into play? Insurers make you pay a stiff penalty for not following this procedure. They may not pay at all, if you violate it by shopping around. If you switch providers within your medical group you will find they all collect the same insurance policy copays. Going outside the group is VERY VERY expensive, so it can never compete on price.

And people who try to "self-insure" by going without insurance discover as soon as they get sick that their hospital bills are so high, they lose their life savings and house before declaring medical bankruptcy. Either that, or just go without and possibly die needlessly because they want to leave their family with something when they are gone. They might be able to spend down all their assets and then go on Medicaid, but that takes time. They may not have it.

So the whole idea is not based on reality, but some Republican fantasy.

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#302126 - 07/08/17 09:48 PM Re: Public Option is the ONLY Option [Re: NW Ponderer]
jgw Offline
member

Registered: 05/22/06
Posts: 1744
Loc: Port Angeles, WA
The fantasy extends to "the market" (the myth that competition will solve everything (there is NO COMPETITION!)) which simple does-not-exist. The simple fact is that it is in the best interest of everybody that health care stops being a for profit industry and becames a public service industry. Anybody who has ever talked to anybody who has such (basically, the rest of the industrialized world) thinks, pretty much, that we are simply insane to have it any other way.

Basically, as far as I am concerned, the right have allowed their extremists to call their shots.


Edited by jgw (07/08/17 09:51 PM)

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#302199 - 07/11/17 09:50 AM Re: Public Option is the ONLY Option [Re: NW Ponderer]
pdx rick Offline
Member
Carpal Tunnel

Registered: 05/09/05
Posts: 40557
Loc: Puget Sound, WA


Rumorhazzit that the House Dems* are going full Medicare For All™ for the 2018 race.

(*All of them Katie laugh )
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#302200 - 07/11/17 09:55 AM Re: Public Option is the ONLY Option [Re: pondering_it_all]
pdx rick Offline
Member
Carpal Tunnel

Registered: 05/09/05
Posts: 40557
Loc: Puget Sound, WA
Originally Posted By: pondering_it_all
...people who try to "self-insure" by going without insurance discover as soon as they get sick that their hospital bills are so high, they lose their life savings and house before declaring medical bankruptcy.

You mean these people don't have the energy from being too sick to shop around the best price as CONservative Free Market enthusiasts want everyone to do? coffee
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#302201 - 07/11/17 09:56 AM Re: Public Option is the ONLY Option [Re: jgw]
pdx rick Offline
Member
Carpal Tunnel

Registered: 05/09/05
Posts: 40557
Loc: Puget Sound, WA
Originally Posted By: jgw
(there is NO COMPETITION!)

Well not anymore - they all merged. Hmm

(Shhh...CONservatives haven't gotten that memo yet. They're too busy chanting MAGA and trolling comment sections telling everyone how great Trump is as President. rolleyes )
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#302206 - 07/11/17 12:21 PM Re: Public Option is the ONLY Option [Re: NW Ponderer]
rporter314 Offline
old hand

Registered: 03/18/03
Posts: 6211
Loc: Highlands, Tx
does anyone have any links to sites which discuss scoring public options plans and single payer plans???
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ignorance is the enemy
without equality there is no liberty

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