The Incredible Shrinking Public Option
By Robert Parry
November 2, 2009
Robert Parry broke many of the Iran-Contra stories in the 1980s for the Associated Press and Newsweek. His latest book is, Neck Deep: The Disastrous Presidency of George W. Bush. His two previous books are, Secrecy & Privilege: The Rise of the Bush Dynasty from Watergate to Iraq and Lost History: Contras, Cocaine, the Press & 'Project Truth'
When the U.S. health care debate began last spring, the insurance industry and its congressional defenders fretted over the prospect that 119 million Americans might defect from private insurance to a public option, thus devastating the business model of wealthy insurance companies.
Corralling the Public Option
The most important concession came when the public option was barred from competing with private insurers for their most lucrative contracts, those with large employers. The public option was confined to insurance “exchanges,” which would start in 2013 only for uninsured individuals and small businesses.
That concession slashed the prospect of defecting clients from the 119 million – predicted in an industry-backed study by the Lewin Group – to about 10 million to 12 million Americans who, the CBO said, would choose the lower-cost “robust” public option on the exchanges.
The death of that “robust” version in the House leadership’s bill trimmed the likely clientele for the public option to about half that number, to around six million, according to the CBO.
In another favor to the insurance industry, the surviving House and Senate bills put off competition from any public option until 2013, granting the private insurers another three-plus years of their continued cartel-like control of the health-insurance sector.
The current Senate bill, which was cobbled together by Senate Majority Leader Harry Reid, offers another concession regarding the public option, a provision that would let states opt out. Reid included the opt-out clause in hopes of convincing several conservative Democrats to at least vote against a Republican filibuster and let the Senate proceed with the legislation.
But the opt-out clause means that some conservative states may bar their residents from signing up for the public option, thus possibly reducing the number of public option enrollees to less than six million.
Still, it’s hard to see why private insurers would object to inclusion of the weakened public option because the insurance industry already would be in line to get the bulk of the new customers, people compelled to buy insurance or face fines and who also might qualify for government subsidies that would go to insurance companies for policies offered on the insurance exchanges.
Please read the complete article at:
http://www.consortiumnews.com/2009/110209.html