Opt-Out Noses Ahead of Trigger at the Wire

| Mon Oct. 26, 2009 1:16 PM PDT

Last Friday it looked like the most likely compromise on including a public option in the healthcare bill was Olympia Snowe's "trigger." But either that was just a feint or else everyone changed their minds over the weekend:

The Senate health care legislation will include a government-run insurance plan, but states would be allowed to “opt out” of it, the majority leader, Harry Reid of Nevada, announced Monday afternoon.

....“Under this concept, states will be able to determine whether the public option works well for them and will have the ability to opt out if they so choose. I believe that a public option can achieve the goal of bringing meaningful reform to our broken system.”

Snowe has announced that she won't support this, so that means Republicans are now unanimously opposed to healthcare reform. It can still pass, but only if the Democratic caucus is unanimously willing to allow a floor vote.  Needless to say, this is still up in the air.  Fasten your seatbelts.

Advertisement

Advertisement

Kevin Drum is a political blogger for Mother Jones. For more of his stories, click here.

Get Mother Jones by Email - Free. Like what you're reading? Get the best of MoJo three times a week.

Comments

Thank goodness for no Snowe

I was hoping Snowe would be frozen out. This allows some real clarity - Republicans completely united in wanting to do nothing about the issue. May this be for them like the Iraq war vote was for Dems - a vote where craven expediency comes back to bite them for years to come.

I think this is good progress

I'm pleased with this, as opposed to the trigger option. It doesn't concern me one whit that red state governors will opt their people out. When people in opt-out states start to see that they are paying way way more .... well then elections will have consequences.

And I would like my president, who I am generally pleased with, to get firmly behind this. If he doesn't it only goes to show that he has been in the back pockets of the insurance industry all along and has enjoying the smell.

Or Perhaps

Last Friday it looked like the most likely compromise on including a public option in the healthcare bill was Olympia Snowe's "trigger." But either that was just a feint or else everyone changed their minds over the weekend:

Or, reports by Poltico and the AP which kicked off that particular media narrative stampede were just wrong.

Strive For The Ideal, But Deal With What's Real

How is Sen. Byrd?

Does anyone know if Sen. Robert Byrd is feeling healthy enough to appear and vote?

I wouldn't be surprise if

I wouldn't be surprise if Snowe votes Yes at the last minute. If they have the votes without her, she loses nothing by getting on the right side of history.

"or else everyone changed

"or else everyone changed their minds over the weekend:"

They received calls and emails from those of us who did not accept surrender.

Who the hell does Olympia

Who the hell does Olympia Snow think she is that she, as a Senator from a small state, can deny citizens of my state a choice they want very much? Or Conrad from Souh Dakota, Lincoln from the very unrepresentative Arkansas, etc.

Time to shut-the-you-know-what-up, Olympia, and re-think your obligations to the American people. If you and other Republicans can convince the people of Maine that the public option is a terrible idea that should be rejected, you will have plenty of opportunity. Time to come down from the fantasy Mount Olympus you've created for yourself.

Thank goodnesss... I must

Thank goodnesss... I must say this has been a roller coaster ride from day one in relation to congress...and to the WH. Btw, anonymous at 4:40 PM, I think you might be right about Dems making themselves heard. Anything without the public option would be suicide for Obama in 2012. I hope he knows that.

I'm also sick and tired of

I'm also sick and tired of so many players treating the question whether something "has the votes" as a fixed verity that cannot be moved. It's so passive it's disgusting. Damn it, move the votes, Harry and Barack and Rahm and Valerie and David (and all the rest of you). The policy position of the opponents is absurd and utterly indefensible -- siding with profits and outrageous CEO salaries against the interest of the American people in driving down the cost of insurance as much as possible -- so use whatever pressure you need to force the holdouts to change it. Not using it makes it look like the support claimed by the White House is one big lie. Show us it's not.

Will any so-called reporter demand -- demand -- of Olympia and the rest of them to explain how they can justify taking this choice away from the American people? We've been at this for several months, and nobody, not even the White House that's supposedly for it and to my recollection nobody from the national media of self-important reporters, has bothered to require the opponents to defend their positions in terms of what's best for the American people with the slightest pushback against their frivolous arguments.

The concept of the public option as designed in the main House bill -- a non-profit that by law, just like any other non-profit, must live solely from its premiums and not using any general revenues -- is fair competition that a well-run private entity should be able to deal with. It is up to such a company to find its niche providing better service to its customers than a more cumbersome public agency may be able to do. If it does, it will succeed and will be profitable. Taking a public option away is artificially propping up insurance companies profits and asking Americans to pay more for that purpose. That is an utterly outrageous position, and a marginally competent reporter should be probing those questions deeply.

It's good to see the public

It's good to see the public option move forward, though the devil is in the details. Will the half-baked "opt-out" approach create problems with opt-out states complaining that their federal tax dollars are being used to subsidize the opt-in states?

Also, is there a universal mandate in this bill? Does anyone have a link to all its details?

JS - I'm assuming that

JS - I'm assuming that people in opt-out states who can't afford private insurance will still receive subsidies to buy the private health insurance of their choice, with a greater number of choices than is presently available. The subsidies are the part of healthcare reform that uses tax dollars. The public option is supposedly supported by premiums and not by taxes. But far be it from me to assume anything logical when it comes to the US Congress.

White House that's

White House that's supposedly for it and to my recollection nobody from the national media

OK, I am busy and you are

OK, I am busy and you are busy but I have looked -- and I am sure many of you have looked -- to see whether and how the public option as fashioned by Sen. Reid or others might possibly benefit me and my family. And I just don't see it. The liberal crush for the public options seems uncritcally superficial, and I am a liberal. So what is the deal with this so-called public option? Show me how it actually benefits the average Jack or Jill.

JP, you didn't look very

JP, you didn't look very hard. If you do not have or happen to lose your employer-sponsored and subsidized insurance -- i.e., through unexpected loss of your job -- you will have to go into the "exchange" to find a policy. Most plans will be profit-based. The public option as usually described is designed as a non-profit, government-sponsored alternative. Although it will be required by law to operate only on premiums without general revenue support (that would be competitively unfair), it should be as low in cost as we can get because it (1) covers a huge risk pool, (2) has huge clout for negotiating with providers, and (3) is not conflicted by the need to maximize profits. It will be one of the choices available to you in the exchange. However, if you prefer one of the private plans for any reason -- maybe you've heard from friends that even though it's a little more expensive than the public plan, the service is outstanding -- you can choose that. However, all of the plans should be less expensive than they would be otherwise due to competition with the public plan. Besides the overall cost-reducing importance of the public option, since there will be a mandate to buy insurance in order to make it universal, it just seems improper to force people into one of the private profit-based insurers only.

This is not a frivolous concept. Some see it as merely a step towards the single-payer system they think they would prefer. However, if the mixed private-public system with univeral coverage works as well as it should -- and there is some good experience with similar mixed schemes in other major countries with universal health insurance -- people will be happier with what they have and there will be insufficient public pressure to take the single-payer step. If the public comes to want single payer, we'll go there. If not, we won't, no matter what some policy-wonk types would prefer

health care

I say bravo for Harry Reid. I'm really pleased that Snowe's idea is down the toilet where it belongs. If there is no bill because of the public option, then that suits me just fine, because there's no reform of the health insurance industry without a public option. And should the bill fail in this way, maybe Obama will have a talk with Rahm about trying getting behind the progressives in the party instead of trying to railroad them in order to get in bed with Olympia Bipartisan Snowe.

Post new comment

Alternately, you may login to or register an account
The content of this field is kept private and will not be shown publicly.
  • Web page addresses and e-mail addresses turn into links automatically.
  • Allowed HTML tags: <a> <ul> <ol> <li> <blockquote>
  • Lines and paragraphs break automatically.

More information about formatting options

MoJo Comments: Send Us Your Feedback

We changed our spam software to better filter comments. Should you encounter any issues, please let us know.

Photo Essays

Meet the guys who risk life and limb to dismantle weapons in Afghanistan.
Post-genocide, Rwandan women raise the children of their attackers.
Behind a generation's iconic images.