October 23, 2009

Public Option Headed For Senate Floor?

The New York Times reported last night that Senate Majority Leader Harry Reid (D-Nevada) was on the verge of deciding to include the so-called public option in the final Senate health care reform bill and send it to the floor for a vote. I'm pretty much neutral on the public option itself since the Congressional Budget Office hasn't scored it in the Reid bill (I think the Kennedy-Dodd bill which included the public option was estimated by the CBO to run $1.2 trillion over 10 years), but one thing I do know is that if Reid includes it, then all hell will break loose in the Senate. Republicans oppose the option and so do a good number of Democrats and if that puts Dems in the position of needing to invoke reconciliation--the so-called nuclear option--to get it passed with less than 60 votes, then it will come back to haunt the Dems somewhere down the road.

Obviously, what Reid is up to is risky political business.

Posted by Philip Dawdy at October 23, 2009 12:03 AM
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The public option will be cheaper than mandatory private insurance and folks can still add on private insurance if they want, or, hopefully, just pay extra for more care, and likely, it means less government control of a person's private life.

It will be cheaper because to fund insurers covering pre existing conditions, treatment already being received, even if rates are drastically increased taxes will also need to be increased to supplement private insurance if private insurers have to cover pre existing conditions. The closer looks at the Massachusetts plan that the Kennedy-Dodd bill is modeled after with mandatory private insurance, which has been a dramatic, colossal failure that everyone hates, has shown this, as has the insurance industry's own report, bent on stopping all health care reform, which inadvertently has led to some politicians finally looking at the public option, which is the only sensible way (yep, I'm biased).

Why won't the public option be as invasive as mandatory private insurance? Because the government really will save money if less people use services, so hopefully less "mental health care," and also a broken leg will no longer bankrupt someone.

Posted by: Sally at October 23, 2009 02:38 AM
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