The August recess is in full swing. Here's the latest health care news:
More Hedging On The Public Option
The big news nationally is that the White House hinted again yesterday
at a willingness to drop a public insurance option from the health care
reform packages if it means ultimately passing a bill. While
progressives activists have pushed hard for a robust government-run
program to compete with private insurers, Health and Human Services
Secretary Kathleen Sebelius told CNN that a public option was “not the essential element” for reform. This isn't the first time
the Obama administration has hedged on this point, but at this stage in
the negotiations, it should send a strong signal to moderate and liberal Democrats where the president currently stands.
In its place, Senate Democrats will likely turn to non-profit cooperatives, an alternative already favored by the Gang of Six senators on the Finance Committee. Ezra Klein's June interview with Sen. Kent Conrad is a good place to get caught up on the specifics. The New York Times' briefly explains the idea here:
The co-op, modeled after rural electric and agricultural
cooperatives in Mr. Conrad’s home state, would offer insurance through
a nonprofit, nongovernmental consumer entity run by its members. Mr.
Axelrod said one downside of a co-op, from Mr. Obama’s point of view,
was that it might be unable to “scale up in such a way that would
create a robust” competitor to private insurers.
Will that concession go far enough to win the support of moderate
Democrats who remain on the fence? None of Illinois' still undecided
lawmakers -- including Reps. Debbie Halvorson, Bill Foster, and Melissa
Bean -- have explicitly identified the public option as the major
problem with the bills working through Congress. However, if they felt
the inclusion of a government-run plan left them vulnerable to
overblown conservative attacks about expanding government, co-ops could
give them some leeway while preserving some choice on the private
market. Of course, the full House would still face a vote on a bill
that includes the public option; it would likely be gutted in the
Senate version, where moderate votes are really needed, and then
negotiations would begin over specifics in conference committee. And
the entire package could crumble if progressives in the House revolt,
like Rep. Jan Schakowsky and her colleagues vowed to do last month. Stay tuned.
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