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The public option may be the only real solution for US health care

Published: Tuesday, February 23, 2010

Updated: Tuesday, February 23, 2010 23:02

President Barack Obama has had a pretty tumultuous time lately. The economy is still slumping, unemployment is very high, and conservatives like Sarah Palin critique his every move.

His message of hope and change seems to be slowly falling into a dark abyss of one-term presidencies. During these hard times, there is but a shimmer of light piercing through the dark clouds of the Obama presidency: the possible resurgence of the public health care option.

Earlier this year, in the midst of the health care debate, the public option was addressed as a way to insert government health insurance into the market of insurance providers to provide competition.

To put in more simple terms, take West Virginia University and a private school like West Virginia Wesleyan College, for example.

One of the schools is helped by private funding while the other is helped with public funding (among other funding obviously), and each are coexisting in a competitive environment.

This is similar to how a public option would work. The public option was very popular among public opinion polls. It allowed those who were satisfied with their current insurance to keep it and for those who didn't have insurance or weren't satisfied to buy into the public health care option.

This plan, however, didn't pass through the Senate Finance Committee.

The health care debate's further stagnation through the halls of Congress has been caused by the filibuster rule, which causes a 60-person supermajority to override. Opponents of the health care bill and the subsequent public option have used this to prevent it from going any further.

A tactic used to solve this problem, one that should have been implemented at the beginning of this debate, is the seldom-used reconciliation procedure.

When Congress chooses to use reconciliation, they can successfully pass legislation with a simple majority without the threat of a filibuster.

But the road to reconciliation is not an easy one; it requires Congress to pass a concurrent resolution as well as many other processes that I won't go into any boring detail over.

The fact of the matter is, reconciliation can and should be used to pass the public health insurance option.

The revival of the public option started when Congressman Alan Grayson, D-Fla., created an online petition that called for the Senate Majority Leader, Harry Reid, D-Nev., to include such option in the Senate bill and use reconciliation.

Once this took place, several of Grayson's fellow house members signed on. This led several senators to join the rally, but with a notable absence of one, West Virginia's own Jay Rockefeller.

"I don't think the timing of it is very good ... although I'm strongly for the public option" Rockefeller was quoted as saying by various media outlets.

This is a huge blow to the public option push, and Rockefeller knows it.

This last-ditch effort for the public option may be too little too late. The entire execution of Obama's health care reform has been sub-par at least.

When Obama campaigned, he built his health care platform on a single-payer system. When it came time for the health care debate, however, Obama and congressional democrats didn't use this as their benchmark.

Instead, they began driving straight for the public option when they should have been gunning for the single-payer system and compromising with a public option.

All this being said, the Obama administration and congressional democrats haven't been pursuing their health care reform tactics aggressively enough to get the desired results.

Obama came into his presidency as a knight in shining armor, ready to save America from the Bush administration and bring to light the inspiring message of hope and change to a broken country. This message is dying.

The president and Congress have a golden opportunity to pass a potentially ground-breaking and life-saving piece of legislation. They must capitalize.

Millions more Americans would receive coverage, and those people would no longer be living in fear of going bankrupt due to medical expenses.

 

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15 comments

Anonymous
Thu Mar 11 2010 14:50
Why can't Obama and people who want to cap insurance premiums see one fact?? If you cap the amount insurers can charge, they're capped in how much money they can put towards actual coverage, so when you, god-forbid, get something like cancer, they won't cover as much of the cost as they do now. Bottomline, out-of-pocket expenses stay the same, or even increase. And as far as the currently uninsured go, why can't we work to get more of them on Medicaid, rather than using subsidies. Lastly, a friend of mine said we need healthcare reform because his wait to see the doctor was far too long (sitting in the waiting room). Well, if 30 million people become instantly covered, we can't instantly increase the number of doctors, therefore waiting times will be even longer than they are now. Also, nurses and assistants will HAVE to do more of the doctor's work, therefore the level of care will decrease.
Dave
Fri Feb 26 2010 17:58
Runner up for most uninformed post: " None of the proposals by the Obama administration violate the Constitution."

Yes, indeed, the Federal government requiring people to buy insurance violates the Constitution. Proof? Show me where that power is delegated to the Federal government. It's not there, and the general welfare clause is not power to mandate that someone purchase something.

And, FYI, the founders recognized that things might need to be changed- they created a process for that. If we want to go down the path of government mandated health insurance/ownership of insurance companies, then we amend the Constitution.

Ummm
Fri Feb 26 2010 14:09
" The US Constitution was written a long time ago before any of this was relevant, playing the Constitution card is about the worst conservative card to play. Seriously Dave? At least try to think of something better. Don't give me that Constitution bullsh-t."

Winner: Most uninformed statement of thread award

Anonymous
Fri Feb 26 2010 14:01
Yes and I'm sure the founders didn't intend for insurance companies to govern health insurance and deny people based on pre-existing conditions. The subject of delegating healthcare to the states has been proposed and is in the process of being put into the bill. What is your point? The founding fathers couldn't exactly predict, nor prepare a document for, the current insurance company stranglehold on the healthcare industry. None of the proposals by the Obama administration violate the Constitution.
Dave
Fri Feb 26 2010 11:14
10th amendment: "The powers not delegated to the United States by the Constitution, nor prohibited by it to the States, are reserved to the States respectively, or to the people."

Also, it is important to read history and the writings of the founders and find their intent, as words can be misinterpreted. For example, Congress's power to "regulate" interstate commerce was intended to mean "to make regular", or to make sure it existed. It was not the intent of the founders, according to their own writings, that Congress regulate and tax the hell out of commerce, but that clause of the Constitution has been manipulated to mean that over time.

Anonymous
Thu Feb 25 2010 15:01
The Constitution IS irrelevant in the way that you are trying to argue for it. You're trying to draw a conclusion that the Constitution doesn't explicitly state that government is allowed to "control" healthcare, so therefore its not allowed. This is just a stupid statement. Of course it doesn't explicitly state that, it is vague about a lot of things. Check the preamble if you are so preachy about the Constitution.
"Promote the general welfare"
that ring a bell? The purpose of the public option is to provide competition and keep the insurance providers in check, something thats not happening. Its not a free-for-all government run rampage like you play it out to be.
"life, liberty, and the pursuit of happiness"
thats from the Declaration of Independence. People who have no insurance don't have the right to life. Their liberties are violated and they are unable to pursue happiness. There is no other tactic being proposed that would help insure more americans than the public option besides a fully single-payer system. Get off your high horse Davey Jones, just because we have the most health breakthroughs and people like Ted Nugent say we are the best doesn't mean we have the best healthcare in the world. US healthcare doesn't provide for all of its citizens, which means its privilege-based care.
Dave
Thu Feb 25 2010 13:25
1) The Constitution is the highest law of the land. If it isn't in there, it is not legal. Period. I'm not "playing" any card- the Constitution is the Constitution, whether you like it or not.

2) Yes, a lot of people support healthcare reform (I am one of those, but I don't support the crap that Congress is proposing), but an overwhelming majority are happy with the healthcare they receive. Look it up. No lie.

3) The US has discovered more cures, more innovative treatments than the rest of the world. Leaders from around the world come here for treatment. Does that 37 number come from the UN?

4) That is a process that can be improved, but still, the most important thing is you get treated.

5) Medicare and Medicaid are government health programs that are hemorrhaging money- said it yourself... what makes you think a public option would be any different? Historical evidence indicates that it would not.

6) Yes, all of our bridges are perfectly safe, we have no potholes in our roads, the education in this country is leading the world since the Federal government got involved, and there is no corruption in welfare, the bailouts, or the stimulus. The government runs everything on time, under budget, and above expectations. Do you really believe that?

7) I believe I stated that I think something should be done to make sure everyone has access to affordable healthcare (did you not read my post?).. just not the public option.

Saying that the Constitution is not relevant is completely ridiculous. Without the Constitution, we have nothing. We have no government, no rights, nothing. The Constitution trumps all in American law, or did you not learn that yet? Maybe you should actually read the Constitution and a few history books so you can appreciate what a truly remarkable document it is, and how truly brilliant the men who crafted it were.

Dave is Always Wrong
Thu Feb 25 2010 11:08
1. The US Constitution was written a long time ago before any of this was relevant, playing the Constitution card is about the worst conservative card to play. Seriously Dave? At least try to think of something better. Don't give me that Constitution bullsh-t.

2. Your polling data is just a flat out lie. Conservative polling data has 40.3% of Americans in favor of healthcare reform, and this is after Congress has piddle shit around for months. THe numbers used to be in the 60-70s.

3. Our Healthcare isn't the best, it ranks 37th in the world.

4. Yes hospitals will treat you, but how are you going to afford it afterward when you are presented with bills? You can't and are forced to go bankrupt, like many of my friends have been forced to do.

5. Most people are satisfied with medicare and medicaid, it is hemorrhaging money but it can be reformed to where this isn't a problem.

6. Plenty of government run programs works. Leaving healthcare solely up the insurance companies only allows them to take complete control over the market and charge outrageous amounts and limit those who can have access to insurance.

7. 30 million people are uninsured. Our country thats SO GREAT AND EVERYTHING IS SO WONDEFUL AND WE'RE NUMBER 1!!!! (according to Dave and every other conservative in the country) cannot provide for all of its citizens to be insured.

We don't have the best healthcare in the world, only the potential. Dave get your facts right and stop playing the pussy Constitution card because its just not relevant.

Dave
Thu Feb 25 2010 09:44
Well, first of all, if you show up at the hospital, they will treat you regardless of whether you can pay or not. Its not like people get turned away at the ER because they don't have insurance/can't afford it.

Second, I am by no means rich and I receive excellent health care, as do many others. That's why over 80% of Americans when polled say they are satisfied with the quality of their healthcare right now. Certainly, we need to make improvements to the system, but the "public option" is more like a public option to wait longer & pay more for worse quality.

When you say "US Healthcare sucks".. theres no other way to put this- that is a flat out lie that no one has tried to argue, not even the Democrats. US Healthcare is among the best in the world. The entire discussion has been around access to that healthcare, and I agree that we, as a country, should make sure that US citizens who want it are able to afford basic healthcare, The disagreement largely comes from how to make that happen.

While we are on the topic of the public option though, please tell me where in the US Constitution it says that the government is allowed to own and operate their own health insurance company, or where in the Constitution is says that the government can mandate that everyone purchase health insurance.

There are many, many other things that can be done short of starting up even more government waste in the form of a public option... such as increasing competition by opening up insurance markets across state lines, reforming malpractice laws, tweaking some other regulations (such as removing the bias towards group insurance plans vs. individual plans), and, in the worst case, providing assistance to allow those who cannot afford basic healthcare in purchasing insurance from a private plan. These solutions have been proposed by many but pretty much completely ignored by Obama and the Democrats. Why won't they even consider them?

Anonymous
Wed Feb 24 2010 18:22
Yeah healthcare for the rich is great here in the states Dave, what about the rest of us?

US Healthcare sucks

Dave
Wed Feb 24 2010 17:59
Why should we not look to Massachusetts as an example? But if you don't want to look there, let's look to Canada. I believe one of their leaders just flew to Miami to have heart surgery rather than have his situation taken care of in his own country.
Elly WVU
Wed Feb 24 2010 09:41
How can you even draw an example from a state like Massachusetts as being comparable to the entire country? Congrats on googling Massachusetts Health Care Reform and quoting wikipedia Dave. Real Solid Research there!
Dave Lover
Wed Feb 24 2010 09:34
Dave you're just bitter because everything in the DA opinion section doesn't bash and obliterate Obama and the liberals. So you nitpick through articles and bring up moot points in order to make yourself look like you know what you're talking about. I guess its a good try on your part but seriously, give it up or write for the DA yourself.
Dave
Wed Feb 24 2010 08:24
"President Barack Obama has had a pretty tumultuous time lately. The economy is still slumping, unemployment is very high, and conservatives like Sarah Palin critique his every move."

If he was not prepared to handle "tumultuous times" and criticism, maybe he shouldn't have run for President! No more excuses for his poor performance... the problems he is facing now are largely his own fault. He made his bed, now he's got to sleep in it.

"When Congress chooses to use reconciliation, they can successfully pass legislation with a simple majority without the threat of a filibuster."

It is also a sneaky, underhanded tactic used to ram through bad legislation that you would be whining and complaining about if Republicans were using it.

Based on the title of this article, I thought I would get some sort of argument as to why the public option would be so much better than anything else that has been proposed or brought up. Instead, we get a cheer for ramming the public option through Congress. The only argument regarding the merits of the public option is in a comparison to WVU receiving public funding, and WV Weslyan not receiving public funding... not a very applicable comparison in this instance.

Maybe you should do a little research about the healtcare reform done in Massachusetts. It is overbudget (who'd have thought that.. a big government program overbudget?) and has subsequently caused a 16% drop in new business starts, according to one study. The quality of healthcare in Massachusetts has also decreased, since wait times have skyrocketed. Not exactly what I want on a Federal level....

Ummm
Wed Feb 24 2010 08:05
"Obama came into his presidency as a knight in shining armor, ready to save America from the Bush administration and bring to light the inspiring message of hope and change to a broken country."

Ummm.... get real. What happened is Obama turned out to be a politician like every one else.





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