Jacob Hacker, perhaps best known as the man behind the "public option," and a longtime proponent of single-payer care (who famously said that the public option would lead to single payer), was on NewsHour this week.
Hacker said that there's "three B's" of the public option: a "backup" for people who don't have secure coverage, a "benchmark" for private insurance plans, and a "backstop" for cost controls.
Unfortunately for Hacker, he needed to lie about the latter two, at least.
He says it is a "benchmark" because it will provide competition. He said he thinks that the public option should not get any subsidies so it will compete "on a complete level playing field." But that's not remotely possible. The public option will require massive taxpayer funds to get off the ground. And even apart from that, the people who run the public option will also be controlling the playing field, and will force the private insurers to play the game on their terms. It won't be -- can't be -- level, unless you have different people writing the rules than playing the game, and unless you somehow get private funds to bootstrap the public option.
And there's no evidence it will control costs, either. Hacker's only evidence for this is that the "per capita" cost of health care has been held down, due to Medicare. But Medicare has not led to a decrease in cost in care for people outside of Medicare. And inside of Medicare costs have been kept down by underfunding the care, so much so that many doctors have stopped accepting, and sometimes even dropped, Medicare patients. And on top of it all, Medicare is going bankrupt, which is going to require decreased services or increased taxes (or both).
This is not, in any sensible examination, an actual decrease in the cost of care. It's a combination of reducing care, and artficially reducing costs through price controls.
As to Hacker's "backup," it will only be such if it does the same as Medicare: artificially controls market prices or uses increased tax revenues to enable them to cover everyone who needs it.
Hacker also lied by omission when asked about supporting single payer. He responded, "Well, all I can say is that I think that, for most people who work for larger employers, the private health insurance system works pretty well. ..." Yes, it does, but the fact is, he is a strong supporter of gradually moving this entire country to a single-payer system, and away from that private health insurance system that works pretty well. And as shown in the verumserum link above, he believes that the public option is part of the process for getting us there (he even thinks it's obvious that it is so -- and I agree with him on that).
The real goal of Hacker is to get everyone covered through -- eventually -- complete government control of the health care system. As Hacker himself has said, the "eventually" part is explicitly designed to get people to go along with small apparently innocuous changes over time, so they won't be scared by Hacker's desired result.
Read or listen to the whole interview (and the versumserum link above). It's very instructive, seeing the lengths the far left will go not only to deceive people into jumping on board their plan, but also to hide their true motives. [UPDATE: the next night, NewsHour interviewed an opponent of the public option, who made many of these same points, and some other excellent ones.]
Cross-posted on <pudge/*>.
Posted by pudge at September 05, 2009 10:32 AM | Email ThisOne of the very few common sense things he said was that the "public option" shouldn't be subsidized. My thoughts exactly. Because the subsidized version being discussed isn't real competition. Because it's subsidized! These pols look goofy saying such would be "competition".
And why tax "the rich" for that? Everyone is currently taxed 2.9% (with employers paying half of that) for Medicare already. Why then not increase that on everyone if they want this? Why should not everyone share the cost on this, as well? (Not that I even want this "public" option thing anyway).
However, there is still a public option that is probably rolled into that. It is hard to imagine that public option would not be subsidized by the Federal Government.
I don't believe what Hack(er) is trying to sell. Furhermore, I do not trust Congress and what they will try and pass. The only way to do Health Care reform is to pass modest reforms (excluding any Government subsidized option) and to take time and do it right. Medical savings accounts need to be part of the reform and direct more emphasis back to the patient and lessen the influence of the middle men (insurance companies).
Posted by: KDS on September 5, 2009 07:18 PMYes. It cannot be paid for fully by ratepayers (since that initial investment is way too costly), so the only other option beyond govt funding is private funding, but I can't see how (or why) that would happen.
"Rev. Jeremiah Wright, President Obama's spiritual mentor -- is back in the news. Responding to a question about the health care debate, Wright opined that "racist right-wingers are upset because poor people are about to the helped."
But the vast majority of poor American citizens have health insurance, and the various reform proposals being pushed by the Democrats are not confined to expanding coverage for the poor and near-poor.
In any event, "racist right-wingers" are not the reason why Democratic reform programs haven't passed. Both chambers of Congress are controlled by Democrats, so it's Obama's failure to persuade them to sign on that is blocking passage.
But for Wright, America itself -- nothwithstanding the election of his spiritual disciple to its highest office and the provision of free health care to most poor people -- is a racist, right-wing country."
Posted by: KDS on September 7, 2009 09:21 PMWright doesn't realize that there are millions of americans who right now qualify for Medicaid but aren't signed up because they choose not to pay the $20 or so a month that it costs. That's practically free! But they do sign up when they get sick or have an accident; suddenly that $20 a month looks like a veritable bargain (because it is). So wright sounds as though he doesn't understand that we already have Medicaid on the books.
Posted by: Michele on September 7, 2009 11:47 PMThe Benchmark goal can be met through the Exchange, COOP's, and/or the government setting minimum guidelines for plans to follow and then providing transparency on individual plan's costs. One doesn't need a public option to meet this criteria.
As far as cost controls, what would control costs more is improved quality ratings standards and more openness on costs (some of what is in the Senate Finance committee's blueprint that is out in the open, finally).
Posted by: tc on September 8, 2009 03:23 PM