Health Care

The Good, the Bad, and the Stupid in Yesterday's Public Option Debate

Published September 30, 2009 @ 12:01AM PT

Yesterday was public option day in the Senate Finance Committee mark-up, as amendments by Sens. Rockefeller and Schumer that would have created public health insurance options for the Baucus bill were debated for hours before going down to defeat. Outlets like Huffington Post and the Politico promised everything short of actual bloodshed in a Democrat vs. Democrat battle royale. But that didn’t even remotely happen. Instead, we got an honest-to-God debate. But senators will be senators, and there was some inanity to be had as well.

These were weighty issues, and they got the consideration they deserved. From Sen. Rockefeller’s impassioned arguments that private insurance companies have treated the American people so badly that they need and deserve the security of a public option; to Sen. Grassley’s stern admonishment against introducing a player into the marketplace who could come to dominate it; to Sen. Schumer being the first politician I’ve heard yet make the argument that those already with insurance would see lower costs due to the competition from a public option, there was much matter here.

For a sampling, check out Sen. Rockefeller’s argument and questions for the Senate Finance Committee policy staff:


Good stuff! Tough questions! And no willful ignorance in sight. Sadly, the whole day did not match this level of erudition. Also demonstrated during the proceedings is that some of our senators aren’t quite masters of reading comprehension.

Sen. Kent Conrad had to go and ruin the erudition when, once again, he held up France as an example of universal health care that works even though it’s not government-run. Conrad seems to have preposterously newly gotten this observation from T.R. Reid’s new book, which he read just a few weeks ago. To which I say, Senator, please stop skimming! (Regular readers of this blog will remember that French citizens are covered for public hospitals and most doctors through the government-run program Sécurité Sociale, which the supplement with complimentary private insurance on top).  Weirdly, this complete misreading of the French system served as the basis for Conrad voting against both public option amendments, even when his initial complaint of too-low Medicare rates for the Rockefeller version was sated by the Schumer version.

Similar, opponents of the public option constantly cited a study that suggested that millions -- no, tens of millions -- no, hundreds of millions would sign up for a public option, leading to the crumbling of private insurance. Of course, this was not the projection of the Congressional Budget Office, the authoritative estimated numbers which Sen. Kyl later referred half-jokingly as “our holy grail.” The CBO projects only 10, maybe 15 million people would sign up for a public option, were it offered alongside equivalent private insurance plans in the Health Exchange for individuals and small businesses.

No Sens. Grassley et al. were quoting the Lewin Group’s analysis of a public option, which dramatically estimated 103.4 million people would enroll in it, with 83.4 million leaving private insurance to do so. There’s a huge problem here -- well, two, really. That Lewin Group model presumes the public option would be available to everyone, but it’s not. Only small businesses and individuals can sign up for it. It also presumes that the public option pay providers based on Medicare rates -- something the Rockefeller version would do for two years only, and the Schumer version would never do. In short, the entire model does not apply to what they’re talking about. You won’t hear Grassley or Hatch or Ensign or anyone else quote the other set of numbers from the Lewin Group -- the ones that more accurately model the proposal in the amendments and conclude 78% of people in private insurance now would stay right where they are, with a modest 33.6 million enrolling for the public option. This despite the fact that it’s in the exact same report!

Oh, and by the way, I’ve made this plea before, so I may as well copy it verbatim: “please, please, for the love of God, please find someone else to crunch your numbers. The Lewin Group is a wholly-owned subsidiary of Ingenix, the database company that provides information on provider rates for most of the major insurance companies, and is itself a division of UnitedHealth, the nation’s largest insurer.”

Yesterday’s Senate Finance Committee showed several members at their best. It also showed several members flunking basic reading comprehension.

So let me ask you -- how nervous should we be that the latter group of senators were the ones who successfully voted down the public option amendments?

Share this Post

Related Posts

Comments (38)

  1. Rachel Russell

    Very worried. I am a disabled Lay citizen, and I have a much better comprehension and awareness of what is going on here, and even more so, what is at steak.

    Posted by Rachel Russell on 09/30/2009 @ 03:16AM PT

  2. Reply to thread
  3. Allan Piper

    I'm glad the debate was civil, but it's hard to have a truly honest discussion without acknowledging who the senators are really working for. The five Democrats who voted against the public option all have received major campaign contributions from the insurance industry. In an otherwise silly article, the National Inquisition lists just how much each received. It's worth checking out. http://www.natinq.com

    Posted by Allan Piper on 09/30/2009 @ 06:25AM PT

  4. CherokeeGirl  for Change

    yeah, I'm tired of people restraining their communication. Can't we show some emotion and passion? Do we have to be SOOO NICE to these knuckle-dragging thugs?

    I'm tired of the "tisk tisk, let's be nice" mantra. The time for being nice has long past.

    Posted by CherokeeGirl for Change on 10/01/2009 @ 11:40AM PT

    • Report close

      You must be signed in to report content.

    • 2 people like this comment.   Like
  5. Reply to thread
  6. Timothy Foley

    As Upton Sinclair said, "It is difficult to get a man to understand something, when his salary depends upon his not understanding it!"

    Posted by Timothy Foley on 09/30/2009 @ 07:07AM PT

  7. Martin Bring

    Move over Democracy

    Here are 16 Principles for the Lobbyists of America.


    1. Lobbyists destined to fill a void left by democracy's failings. Voters are irrational, cannot be trusted to act without guidance from lobbyists.

    2. Lobbyists are the new behavioral nudgers guiding America. Forget behavioral scientists, special interest lobbyists will do the real nudging.

    3. Lobbyists must nudge voters to elect "friendly" politicians. Lobbyists must invest millions to elect officials favorable to special interests.

    4. Lobbyists are the new "unseen hand" of American Capitalism. Capitalism's new "unseen hand" is the enlightened deals of 261,000 lobbyists

    5. Lobbyists will guide economic recovery for special interests. Congress, the president and regulators all have a price, find it and pay it.

    6. Lobbyists protect special interests using taxpayer money. The wealthy will have ready access to the assets and credits of the Treasury.

    7. Lobbyists amass extra capital anticipating a new meltdown. Plan ahead for the next recession by stockpiling benefits for your clients.

    8. Lobbyists hire new blood directly from inside government. The contacts of senators and congressmen are worth millions to clients.

    9. Lobbyists reward politicians, treat them like co-lobbyists. Everyone in Washington wants to get rich off big government, help them

    10. Lobbyists must defeat programs unfavorable to clients. Programs that weaken the power of the rich must be aggressively defeated.

    11. Lobbyist clients' interests come before public interest. Principles of fiduciary duty mean clients take precedence over public needs.

    12. Lobbyists must defeat or gut financial literacy programs. Intelligent, informed investors undercut special interests; Kill the CFPA.

    13. Lobbyists give traders access to commercial bank assets. Investment banks switched to get access to deposits for high-risk trading.

    14. Lobbyists never help mortgagees and credit-card holders. Helping failing homeowners and card holders means less for bank insiders.

    15. Lobbyists want cap-and-trade derivatives for a new bull market. America needs a new bubble, new bull -- global warming trades will do trick.

    16. Lobbyists must reward the rich, eliminate the "death tax." Eliminating inheritance taxes assures continuity of wealthy gene pools.

     

    Apparently, the men who framed our Constitution were not careful enough to protect The Untied States from its own worst enemy.

    http://www.marketwatch.com/story/story/print?guid=288399EA-22AE-488D-B106-4CB6DAA8D1FC

     

    Posted by Martin Bring on 09/30/2009 @ 09:30AM PT

    • Report close

      You must be signed in to report content.

    • 2 people like this comment.   Like
  8. CherokeeGirl  for Change

    so true. there's just one thing they aren't factoring in:

    THEIR VERY SOULS

    Posted by CherokeeGirl for Change on 10/01/2009 @ 11:38AM PT

    • Report close

      You must be signed in to report content.

    • 2 people like this comment.   Like
  9. Martin Bring

    Senator Rockefeller on Keith Olbermann and Senator Franken's Fairness in Health Insurance Act.

    Health insurance companies should, by law, pay out 90 cents on every dollar in premiums they take in.

    http://www.youtube.com/watch?v=adYBMhNvdZU

    Posted by Martin Bring on 10/01/2009 @ 12:03PM PT

    • Report close

      You must be signed in to report content.

    • 2 people like this comment.   Like
  10. CherokeeGirl  for Change

    but Martin, do we STILL need to give them half a trillion in subsidies over the next 10 years?

    (jumping up and down throwing a tantrum :)

    Posted by CherokeeGirl for Change on 10/01/2009 @ 02:33PM PT

    • Report close

      You must be signed in to report content.

    • 2 people like this comment.   Like
  11. Reply to thread
  12. Rev Bookburn

    We need to be louder than people who are duped by the insurance industry and Fox "News" viewers. We need to communicate in no uncertain terms that support is not unconditional. Opposing public option is an unforgivable betrayal. Small and loud right-wing sects must not stop public option or reproductive health services. Rev. Bookburn - Radio Volta

    Posted by Rev Bookburn on 09/30/2009 @ 04:22PM PT

  13. Steve Cunningham

    There is one major problem with the public option; it is unconstitutional.

    Posted by Steve Cunningham on 09/30/2009 @ 05:40PM PT

  14. Timothy Foley

    How so, exactly?

    Posted by Timothy Foley on 09/30/2009 @ 06:00PM PT

    • Report close

      You must be signed in to report content.

    • 1 person likes this comment.   Like
  15. Allan Piper

    I guess it's unconstitutional because it's not in the Bible. Or maybe because the president isn't really an American citizen, he's actually a space alien (and a Muslim one at that). There simply is no rational argument against a public option. All opponents have to go on is lies and scare tactics. 

    Posted by Allan Piper on 10/01/2009 @ 06:15AM PT

    • Report close

      You must be signed in to report content.

    • 3 people like this comment.   Like
  16. Steve Cunningham

    Do you not know what the Consitution is?

    Posted by Steve Cunningham on 10/01/2009 @ 12:09PM PT

    • Report close

      You must be signed in to report content.

    • 1 person likes this comment.   Like
  17. Timothy Foley

    Do you?

    Posted by Timothy Foley on 10/01/2009 @ 12:27PM PT

    • Report close

      You must be signed in to report content.

    • 2 people like this comment.   Like
  18. Steve Cunningham

    I do. But judging by yours and Allan's posts it doesn't appear that either of you have a clue. I thought it would be pretty obvious what "unconstitutional" means. Apparently neither of you do.

    Posted by Steve Cunningham on 10/01/2009 @ 12:32PM PT

    • Report close

      You must be signed in to report content.

    • 1 person likes this comment.   Like
  19. Timothy Foley

    Well, you haven't actually offered an argument or explanation of why it is unconstitutional for the United States government to set up a company to allow citizens to purchase goods/and or services on an optional basis.  One would think the existence of the Post Office alone refutes your point.  If the Supreme Court is about to close down the Post Office, please let me know now so I can buy some stamps before they become rare antiques.

    Care to elaborate on what you mean, since there's nothing obvious about how such a thing would be unconstitutional?

    Posted by Timothy Foley on 10/01/2009 @ 12:50PM PT

    • Report close

      You must be signed in to report content.

    • 3 people like this comment.   Like
  20. Steve Cunningham

    Try reading the 9th and 10th amendments.

    Posted by Steve Cunningham on 10/01/2009 @ 01:10PM PT

    • Report close

      You must be signed in to report content.

    • 1 person likes this comment.   Like
  21. Timothy Foley

    Irrelevant.  Creating a new health insurance plan that a limited number of people may opt to purchase constains neither the rights of individuals nor of the states.  If it did, then Medicare Part B, Medicare Advantage, and Medicare Part D would all be unconstitutional.  Given that I'm looking at an ad for AARP's "Medicare Choice" on TV as I type this, that clearly is not the case.

    Please try again.

    Posted by Timothy Foley on 10/01/2009 @ 01:34PM PT

    • Report close

      You must be signed in to report content.

    • 2 people like this comment.   Like
  22. Steve Cunningham

    So the Constitution is irrelevant? Yep. I figured you people look at the Constitution as an impediment.

    FYI; Medicare is also unconstitutional.

    Posted by Steve Cunningham on 10/01/2009 @ 01:46PM PT

  23. Timothy Foley

    The Consitution is quite relevant.  It protects your freedom of speech, even when 40-odd years of legal precedent (just counting post-Medicare years) and basic reading comprehension contradicts said speech.

    It's your argument that's quite irrelevant.

    I did appreciate the shot at "you people."  Though given that "my people" are Irish-American and your last name is Cunningham... well...

    Posted by Timothy Foley on 10/01/2009 @ 02:04PM PT

    • Report close

      You must be signed in to report content.

    • 3 people like this comment.   Like
  24. CherokeeGirl  for Change

    Step right up folks, what we have here is a genuine, bonafide TENTHER. Well, maybe since he's a ninther and a tenther he would be called a...NENTHER?

    Genuine Teabaggin' malcontent.

    Posted by CherokeeGirl for Change on 10/01/2009 @ 02:34PM PT

    • Report close

      You must be signed in to report content.

    • 3 people like this comment.   Like
  25. CherokeeGirl  for Change

    So, I guess Mr. Cunningham would like to tell 85 to 90% of seniors that he's gonna take away their social security and medicare. Oh no, excuse me, "PRIVATIZE IT". Well, there's a pickle we aren't in now because we didn't listen to George Dubya. Steve is a relic. From the past where people thought Reagan's words were gold. Beware of socialized medicine! The government is taking over your lives!"

    Well, turns out the story ended differently and Steve hasn't updated his databanks. Turns out that medicare and social security were good things we did IN SPITE of the fear mongerers.

    The only people I SEE taking over MY LIFE are the BIG CORPORATIONS.

    THEY ARE UNCONSTITUTIONAL owning more wealth than the other 95% of us COMBINED!

    Posted by CherokeeGirl for Change on 10/01/2009 @ 02:41PM PT

    • Report close

      You must be signed in to report content.

    • 3 people like this comment.   Like
  26. M Arnest

    We will all find out when the issue hits the Supreme Court.  It will all be on how they rule and who will be in power directly after the next election (if 2013 is the date all begins).  Individual mandates, and infractions on state laws will be tricky to navigate through the court. 

    This is different than say 20 years ago,  The communication and times will big determiners.  I'm excited to see what will happen on the new playing field.  The constitution will really count and not be shelved with "nobody will know--"

    17 enumerated powers are just that, and the presidents job, to enforce the constitution by the way, will all come into play.

    Washington and Hamilton, how does that taxing decision play out in compromise of documentation (the war could have been paid for in other ways)---

    Posted by M Arnest on 10/02/2009 @ 04:00AM PT

  27. Thomas McHugh

    Mr. cunningham...

    Where in the constitution does it say that we cant have a public option in our health care ?

    Posted by Thomas McHugh on 10/02/2009 @ 08:02PM PT

    • Report close

      You must be signed in to report content.

    • 1 person likes this comment.   Like
  28. M Arnest

    Mr. McHugh,

    The constitution is a document/s that gives congress the power to do only certain things, therefore, it is more like a "can" not a "can't" document.  Go there and the issue would die quickly.  The Senate wants to side step the issue.

    The problems lie in the taxing power (Article I sect.8).  At least 4 times in American history the Supreme Court has overruled them and told congress NO. Once congress tried to rewrite and go around a ruling and was admonished for prevarication (skirting the truth).

    All-in-all, this baby will land on the Supreme Court's door step!  Where you will find a "CAN" will become a "can't" if the public option goes through.

     

    Posted by M Arnest on 10/03/2009 @ 03:25AM PT

  29. M Arnest

    :),

    I guess most feel like writing in "draft" style:)

    Yes, the constitution is more than 1 document, headed by a single document.  Amendments etc., all apply.

    Congress has a way of using the "Interstate Commerce" clause to get things done.  Amendments 9 and 10 restrict them from many actions, otherwise the "Checks and Balances" system doesn't work.

    They can only do certain actions.  The 17 enumerated powers are their basis for all their  power.

    Posted by M Arnest on 10/10/2009 @ 04:14AM PT

  30. Reply to thread
  31. CherokeeGirl  for Change

    I would have liked to see a little more "Grayson" in Rockefeller, but it turns out, his ammendment was just a straw man for Schumer's ammendment. That explains why Rockefeller seemed so relax while fighting for it.

    Then, yesterday when Keith asked him about Grayson, he acted like he's "above that" and refused to talk about it. Well, LA DEE DA Senator Rockefeller. Let's see some FIGHT in ya.

    I want a BIG SHOW on the floor of the senate with a little more GRAYSON in it!

    Posted by CherokeeGirl for Change on 10/01/2009 @ 11:37AM PT

  32. Mary Acosta

    Yes, Lets hear it for Grayson!!!

    REP. ALAN GRAYSON (D), FLORIDA:  If you get sick, America, the Republican health care plan is this: Die quickly!  That‘s right, the Republicans want you to die quickly if you get sick.

    Republicans want revenge.  They‘re demanding that Democratic congressman Alan Grayson of Florida apologize to House minority leader John Boehner for making these remarks on Tuesday night.

    GRAYSON:  I‘m not going to recount every single thing that I said.  But I will point out that, immediately after that speech, several Republicans asked me to apologize. 

    Well, I would like to apologize.  I would like to apologize to the dead.  And here‘s why.  According to this study, health insurance and mortality in U.S. adults, which was published two weeks ago, 44,789 Americans die every year because they have no health insurance. 

    So, I call upon the Democratic members of the House, I call upon the Republican members of the House, I call upon all of us to do our jobs for the sake of America, for the sake of those dying people and their families. 

    I apologize to the dead and their families that we haven‘t voted sooner to end this holocaust in America. 

     

    Posted by Mary Acosta on 10/01/2009 @ 11:43AM PT

    • Report close

      You must be signed in to report content.

    • 4 people like this comment.   Like
  33. Reply to thread
  34. Thomas McHugh

    Yep...As with most of you folks here, Im sick and tired of us american citizens getting screwed on our health care just because the insurance companies who profit from being able to do so, own one too many of our politicians. 

    We need and want a public option... 

    Lets all hope that sooner rather than later, the owned politicians will figure out that continuing to screw us will result in them getting screwed come the next election.

    Posted by Thomas McHugh on 10/02/2009 @ 08:12PM PT

  35. Jason Jaytheman

    Maybe you (or your employer) have had the wrong insurance options.  My insurance rocks.  I needed a $25K operation, and my out of pocket was $450.

    Increases in cost can be traced back to increases in State Mandates.  Why do I pay for a Mandated "Marriage Therapist" in Colorado?  Insurance companies probably lobbied for increased mandates nor more revenue. 

    I don't care which party was responsible for the failed policies of the last 10+ years.  Lets start with a ROLL-BACK of those failed policies before we go "Euro-Canadian" with the whole system.

    Posted by Jason Jaytheman on 10/08/2009 @ 01:09PM PT

    • Report close

      You must be signed in to report content.

    • 1 person likes this comment.   Like
  36. CherokeeGirl  for Change

    Jason, you may want to check out this article by Bob Cesca. Even if you have good insurance now, chances are you won't have good insurance in the future. Since healthcare is 16% of GDP, and many aren't paying for healthcare, but instead going to emergency rooms, that makes your insurance go up and up and up.

    http://www.huffingtonpost.com/bob-cesca/the-health-insurance-you_b_313103.html

    Posted by CherokeeGirl for Change on 10/08/2009 @ 02:06PM PT

    • Report close

      You must be signed in to report content.

    • 1 person likes this comment.   Like
  37. Steve Cunningham

    So government intervention screws things up so your recommended remedy is, what? More government intervention? Almost sounds sane to me.

    Posted by Steve Cunningham on 10/08/2009 @ 02:19PM PT

    • Report close

      You must be signed in to report content.

    • 2 people like this comment.   Like
  38. Jason Jaytheman

    Unpaid obligations are not a major factor in insurance reform.

    Are you saying that 16% of GDP can be turned over to federal control with no adverse affects?

    Did you consider the 65% of doctors that quit or retire because of government limits on what they can earn? 

    We will be stuck with whomever will take a job in a government controlled profession.

    Posted by Jason Jaytheman on 10/08/2009 @ 05:21PM PT

    • Report close

      You must be signed in to report content.

    • 1 person likes this comment.   Like
  39. CherokeeGirl  for Change

    Steve, you obviously didn't even read the article, it doesn't even mention government intervention except if you are referring to the public option. It is necessary to de-monopolize your masters.

    Jason, I have 17 years in healthcare and nothing you say makes any sense at all to me. My point about the GDP is that it is eating up our GDP. It's now at 16% but soon will be ONE FIFTH of our GROSS DOMESTIC PRODUCT. THAT'S BIG, and it's big enough to eat up your monthly income over time. So, what are you gonna do about it? Just keep fighting with me? I'm not the enemy, big Insurance is. The goverment will have to regulate the hell out of them and they have earned it.

    How can you defend the REAL DEATH PANELS?

    Posted by CherokeeGirl for Change on 10/08/2009 @ 05:31PM PT

    • Report close

      You must be signed in to report content.

    • 1 person likes this comment.   Like
  40. Steve Cunningham

    17 years in healthcare and all you can come up with is to socialize it? This thing has been tried all over Europe, Canada, Australia, Massechussettes, etc, and has failed every single time. And if the government tries to force me to buy something that I don't want (forced insurance via the IRS) then we will have a BIG problem. I am not a ward of the state. The state is not my daddy nor my mommy. They may be for you.

    Posted by Steve Cunningham on 10/09/2009 @ 05:27AM PT

    • Report close

      You must be signed in to report content.

    • 1 person likes this comment.   Like
  41. CherokeeGirl  for Change

    You are putting down Massachusets? Dang. I thought they had built a really good healthcare delivery model.

    Posted by CherokeeGirl for Change on 10/12/2009 @ 12:11PM PT

    • Report close

      You must be signed in to report content.

    • 1 person likes this comment.   Like
  42. Reply to thread
  43. james m nordlund

    Hiya, All, thanx for all you do and don't    :)

    As is evident in the above remocrat's attack of the reason for the blog and the predominant amount of those who replied to its opinions, they're not even trying to make a point, they're using 1 or 2 lines to attack, looking to waste as much of healthcare reform supporters time as possible, in our replies to them; so, don't.  Don't forget, we can still struggle for single-payer, while also struggling for a public option; a public option should be considered a minimum.  Keep the struggle going, yet, keep in mind that if there weren't laughter, there would only be tears; the remocrats attempts at pathologically lying the populace's right to health  and healthcare from them, with healthscare tactics, is only a bad joke in reality- and we must make that so in actuality.  Remember, please, advocate for single-payer healthcare, with Community First Choice Option and CLASS Act (Community Choice Act for the handicapped, elderly, autistic, disabled, etc.); H.R. 676 & S. 703, are the best of the lot, so far; i.m.h.o..

    Related group and actions   :)

    http://www.singlepayeraction.org//join.html

    reality

    Posted by james m nordlund on 10/06/2009 @ 09:02PM PT

  44. CherokeeGirl  for Change

    Single Payer is truly the only way to go. It gets profit out of our care so we can focus on the patient. The more I see of how nasty the big insurance companies are being, the more I am convinced that we have to get to single payer, eventually. Right now, we have to give CPR to the public option on a daily basis, but it will survive.

    Posted by CherokeeGirl for Change on 10/08/2009 @ 12:27PM PT

    • Report close

      You must be signed in to report content.

    • 1 person likes this comment.   Like
  45. Reply to thread

Add a Comment

For your comment to be published, you will need to confirm your email address after submitting your comment.

If you already have an account, click here to log in.

Comments on Change.org are meant for further exploration and evaluation of the ideas covered in the posts. To that end, we welcome constructive comments. However, we reserve the right to delete comments that are offensive, abusive, or off-topic; that contain ad hominem attacks; or that are designed to subvert or hijack comment threads rather than contribute to them. Repeat offenders may be permanently removed from the site at our discretion.

Author

Twitter Feed

Timothy Foley

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.

close

This user's Profile page is not public. They have restricted it to only their friends.

Already a Member?

Create an Account

You must create a Change.org account to complete this action.
If you already have an account click here.