Joe Lieberman Tries Out an Argument from December
Published August 24, 2009 @ 07:56PM PT

In our health care debate, what’s old is new again. We scarcely gave a thought to Canada or Great Britain’s health care system, yet we’re daily confronted with bogeyman that had long ago been vanquished. Socialized medicine, a rallying cry that still invokes memories of a country that hasn’t existed for almost two decades, is the new black. Even the wishful thinking expression that America has the best health care in the world – a claim that has been debunked again and again – is in vogue. The older it is, the more it’s in style.
So leave it to Joe Lieberman to come up with an argument that’s only 8 months old – and never gained much traction at all: that the economic recovery requires that we put off health care reform. His bon mot from the Sunday talk show: “I’m afraid we’ve got to think about putting a lot of that off until the economy is out of recession.”
You don’t need to be Ezra Klein to realize what’s wrong with this statement – but Ezra does it with such panache:
First, we probably are out of recession. Second, health-care reform is scheduled to begin in 2013, by which time we will almost certainly be out of recession, and if we're not, we have bigger problems. Lieberman might be uncommonly pessimistic about our prospects for growth, but that would imply support for health-care reform, as it will pump a trillion dollars into the economy and thus stimulate demand.
Third, the costs of reform largely manifest in the later years of the decade, namely 2015-2019, by which point we may or may not be in recession, but if we are, it will probably be a different recession than the one we're in now. There is, in other words, no connection between whether GDP growth is slightly negative in the third quarter of 2009 and whether we should spend money between 2013 and 2019 building a universal health-care system.
Lieberman seems to be stuck at the start of the year, when every other blog post I wrote talked about how in this economic crisis, that actually created more of a need to reform health care. Health care costs per person are still scheduled to shoot past $8,000 and health care will be 20% of our economy by 2018 at the current trajectory. Runaway health care costs are the single biggest driver of both costs in the federal budget as well as that for large and small businesses. When the economy was shedding jobs, it was also dumping people out of coverage – at the rate of 1.1 million jobs for every 1% rise in unemployment. It’s no accident that as the economy inches back towards recovery, the impetus to get health care done – which felt like a “Please hurry up already” in February and March but has now settled to a “Hey, what’s the rush” – fades.
So if the Senator from Connecticut, the insurance capital of the world, wants to bring up economic recovery, by all means, go ahead. Maybe people will remember what a drag on the economy our mounting health care costs truly are.
(Photo credit: MichaelTRuhl on Flickr.)
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Comments (8)
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Tim has been an online organizer and blogger on health care policy for the Obama for America campaign (during the primaries) and currently for the Committee of Interns and Residents/SEIU Healthcare, a labor union for intern and resident doctors. Views expressed here are Tim's, and don't represent the positions of CIR or SEIU.
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I wanted to float an idea on a public option and see what people think. I'm a fiscal conservative who is very leary of big government, but I fully recognize that we need health reform and that it is likely necessary to have a certain level of government participation to do so.
So, I have sat up nights worrying about the costs of setting up a new public option with it's resulting bureaucracy and expenses. Then something hit me a couple of days ago.
Why do we need to set up a whole new public option? Medicaid already exists and works reasonably (not perfectly) well, and at times has certainly been better than what I can purchase privately. Why not let people buy medicaid? If you don't qualify to get it now because you make too much, why not set up a way to purchase it?
For those who want to buy it, just set the premiums high enough so it wouldn't have to be taxpayer subsidized for the new members. Include health and wellness programs and education on keeping unnecessary costs down (like going to an emergency room for a cough when urgent care, or a primary care physician would be less expensive). Premiums could be set by state or region depending on costs and could be set a little over actual costs (say 5% over). I propose that this overage apply directly to the budget of medicaid which could then reduce the amount of additional taxpayer dollars that would need to go into the program that is spent on those who can't afford coverage.
Also, you could set up a mechanism by region or state where all employers could offer medicaid as an option to their employees. You wouldn't have to require employers to contribute to their employees healthcare plans, but you could allow for a write off to give incentive to do so. As a small business, I would rather put additional monies into a fringe benefit where I don't have an additional burden of a 7% contribution in social security taxes on any raises I give. I could just put a bigger contribution towards medial benefits. Right now, as a small business owner with 5 employees, I can't get any kind of reasonably priced benefits because I don't have the negotiating power of a larger company. I would love to be able to sign my employees up for something like this.
I am just opposed to starting up a whole new department or program because I believe starting a new one would be much less efficient.
Posted by William Brown on 08/24/2009 @ 09:13PM PT
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Since the public option would, essentially, be another insurance policy for sale but one weaker than existing government plans, why not look to Medicare instead of Medicaid?
Here, if an employer is contributing toward insurance, the option could be offered to buy the employee into Medicare through a premium. Medicare has the advantage of providing equal access and coverage across the country and avoids the inequities of Medicaid. Although, I like your idea of adjusting premiums to the region (I'd love to see that with taxes as I live where the least amount of federal tax $ come back to us.)
Right now, States are hurting for revenue as much as small business. My concern is that the feds will drop too much of an unfunded load on the States if Medicaid is used.
What do you think?
Posted by Harold Lewis on 08/26/2009 @ 09:49AM PT
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I mentioned Medicaid simply because I am more familiar with it as my Mother was on it the last year of her life.
If Medicare worked better in the scenario that I oulined above, I have no problem with that. I would like to see it used as an option that doesn't add a further burden to the taxpayers as the additional insured would be paid for through their premiums.
For those selecting it as an option, you could have the same kind of controls on it like an annual open enrollment (to prevent people from going on it just when they get sick and then dropping it) and an option to prepay premiums for year with tax refunds (this would be great for the self-employed). This combined with reform of private insurance seems like a valid and less expensive option to me.
You could even incorporate a sliding scale to help people who are working poor who begin to move up in wages yet no longer qualify for Medicaid. It should also have the same tax incentives as private plans.
Posted by William Brown on 08/26/2009 @ 06:58PM PT
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Here's a guy who thinks independently despite historically being associated with one Party, even as a Vice Presidential candidate.
So of course he is maligned.
Posted by James Dunham on 08/26/2009 @ 07:54AM PT
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He's not maligned for his political identity. He's maligned for a history of "me first" opportunism. That's worthy of being called out no matter which side of the aisle it comes from.
Posted by Timothy Foley on 08/26/2009 @ 08:05AM PT
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I agree it deserves to be called out.
But how is that different from any politician? The propensity to vote the party line just because the Leaders threaten you is as "me first" as anything, isn't it? Or how about changing political parties just because you are gonna lose your next primary, or because you get promised a plum position by helping swing the count of the majority?
Politics today is generally "me first" it seems to me. The ones that aren't in lock step with their party 100% of the time, like the Blue Dogs, have more credibility to me.
So, what has this guy done that makes him uniquely opportunist in your view?
Posted by James Dunham on 08/26/2009 @ 09:15AM PT
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Who said anything about being unique? Seems to me there have been a lot of posts over the past 8 months on stupid things politicians say.
Posted by Timothy Foley on 08/26/2009 @ 09:26AM PT
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Blue Dogs have a consistent position and focus which drives their decisions. I've not picked that up with Lieberman.
Posted by Harold Lewis on 08/26/2009 @ 09:53AM PT
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