When Blanche Lincoln (D-AR), Ben Nelson (D-NE), Mary Landrieu (D-LA), Joe Lieberman (I-CT), and the entire Republican Senate caucus stepped up to kill the public option in the Senate, it is important to remember that the health insurance industry won a victory—a victory worth $300 billion. As Jay Rockefeller (D-WV) and Tom Harkin (D-IA) now try to crush attempts to revive the public option inside a reconciliation measure, they are battling to protect that extra $300 billion that will flow to AHIP as a result. The public option was never just a “sliver” as Obama tried to claim. It was about a fundamental moral right and the role of government. But what it was also about was a huge amount of money.
The CBO projects that the relatively weak public option–the one limited just to the exchange in the House health care bill–would secure roughly one-fifth of that market, equal to around 6 million people (PDF). The CBO concluded that, as a result of those 6 million customers, the public option will take in $298 billion (PDF) in direct premiums, exchange subsidies, and risk adjustment payments from 2013-2019. However, with the public option removed, but the individual mandate remaining, that $300 billion will instead go straight to the private insurance corporations’ books. If, like I personally suspect, the CBO slightly underestimated the popularity of the public option, and it manages to secure instead roughly a third of the customers on the exchange, that would be roughly $500 billion that the public option would take from the private insurance companies.
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It is important to remember the sheer scope of the private insurance companies victory if they stop health care reform from having even a relatively weak public option. It will be a victory that will provide them with an extra $300 billion of our money. No doubt some of that same money will be used in the future to fight efforts to enact real health care reform.
http://fdlaction.firedoglake.com/2010/03/03/health-insurance-industrys-300-billion-victory-over-the-public-option/