In their attempt to defeat Obamacare, Republicans have focussed their criticism on the public option, painting it as the most objectionable feature of existing proposals. Senator Max Baucus, Democrat of Montana, has now proposed a plan without the public option. This leaves the Republicans in an awkward position, especially since Baucus's plan is projected to cost less than earlier proposals. If Republicans oppose the Baucus plan, they surely risk the ire of voters who will be told during the mid-term elections, "The Republicans blocked a plan that would have covered the uninsured and reduced the deficit."
The problem is, the public option was never the crucial issue; instead, it was the mandate to purchase insurance. Once government mandates insurance coverage, it gets to define what constitutes insurance, which means it can ban pre-existing condition clauses and the like. The mandate also"justfies" large subsidies for insurance, to avoid non-compliance with the mandate. So, an individual mandate, which the Baucus plan includes, implies a rapid takeover of the entire health care system by the federal government.
Something like the Baucus plan will pass. It will either cost far more than existing projections, if government administrators fail to impose the restrictions on reimbursements that generate the projected cost savings, or it will involve massive rationing of care.
The Democrats played it perfectly. The Republicans got sucker-punched.
Wednesday, September 16, 2009
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Professor Miron-
You seem to be always spot on in your analyses. Here again, you accurately point out that the Republicans have been paying attention to details about the bill (albeit, important ones), but fail to hit the critical issue.
You suggest that "the public option was never the crucial issue; instead, it was the mandate to purchase insurance." Therefore, if a plan-- like the Baucus' plan that has no public option--is presented, the Republicans will be backed into a corner.
I would raise this question. What if a plan is then raised that eliminates your proposed crucial issue (i.e., no mandates to purchase insurance)? (Now, I know this may be unlikely).
My point is that I think the issue is far more basic than that. A free society should not have their money taken away and redistributed to others. While President Obama claims that the public option will be self-sustaining, it is unlikley to be the case. I don't believe there is any gov't program that is not subsudized by taxes, special loan rates, and/or monopoly power. The basic issue is that gov't should not be in the insurance game--period. Much of the high cost of insurance is because of gov't regulation (e.g., mandates on what an insurance plan has to contain, no purchases of out-of-state insurance).
As always, you provide a compelling argument, and in this case you are right. I just believe that the issue is more fundamental than you suggest.
Thank you for your time in posting an interesting read every day.
I agree with Mr. Kitchens. I would take it further though. Why mandate emergency room care? That's where all the money goes. Why should my hard earned money be spent on treating a sick immigrant from Guatemala? In a free country (where everyone pays their own way), I should be able to keep my money and the Guatemalan should have to pay for his own medical care. If he can't pay, he dies. That's life (or in this case, that's death). I challenge anyone to find a flaw in this argument.
Hi Jon... I too would agree that ALL the ways in which the gov't takes from you to give to another is inconsistent with a free society and immoral. So, in turn, I would agree that mandated emergency room care, which as you say is a large cost, is inconsistent with a free society.
If I could follow-up your comment, though, I would just emphasize the MANDATEd emergency care is what I would oppose. Somtimes, proponents of gov't run health care assume that opponents want to throw out the sick and lame in the street because they can't afford it. I am an opponent of gov't health care, but I don't want to leave the sick and lame to fend for themselves. I just think that there is a stark contrast between gov't mandates (i.e., forcefully taking money to give to another). I am fine with a hospital, an individual, or a group/organization that voluntarily contributes money or care to those who can't afford it. Indeed, I believe such a system would be more effecient and less ridden with fraud.
So, I don't want to put words in your mouth, but I wouldn't go so far as to say that "if he can't pay, he dies." I would just suggest--as I think you are--that gov't run health care is not an act of love or charity. It is a forceful act.
Do you really think that there is no time to criticize the mandate? Republicans have already been complaining about several different things in the bill, and have certainly shifted at different times what their loudest complaint is. They've been focusing on bills other than the Baucus bill.
Anti-mandate ads write themselves, using Obama's Primary Debates.
Short version: the Republicans would not have fallen into this trap if they saw their mission as "defending liberty", rather than "whatever they can think of next to stay in/regain power".
Republicans and Democrats are two faces of the same party, this is why neither party EVER "realizes" the critical issue.
Yes, the real Trojan Horse for single payer is the mandate not the public option.
Republicans could have a chance to destroy both if they showed that e.g. Krugman is shamelessly justifying the public option because it will offset the increase in markert power of the private insurers as a result of the mandate.
With all the new regulations going to be put in the insurance industry, must cover pre-exsisting conditions and so forth, the mandate is a must. If the mandate is not there, nobody would get insurance until they need it. No matter what bill passes we will not get the proper reform that we need.
if i recall correctly, didn't medicare exceed guessimates by nearly 9 times? at any rate, the CBO may have come to the rescue again today. they affirmed that the baucaus plan may reduce the deficit; however, part D participants will take a massive hit in benefits to finance it. and us (soon to be) oldster's vote...
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Студентка делится впечатлением с подругй о летней практике:
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Недавно задумалась над такой ситуацией: а что если бы во всём мире исчез интернет. Я конечно понимаю, что инет сам по себе взять и исчезнуть не может, но тем не менее, если отбросить все технические нюансы, и представить что такое возможно... Теперь не почитать новости, блоги, не найти нужную информацию в гугле, а самое страшное не выйти ни в аську, ни в контакт!
И тут я поняла насколько я зависима от сети. Нет, вроде бы целыми днями перед монитором не провожу, однако признаюсь, день начинаю и заканчиваю и менно компьютером. Хотя, если с другой стороны посмотреть, будет больше реального общения, и больше времени на реальные развлечения, на саморазвитие и т.п. Хотя опять же с другой стороны, с некоторыми друзьями связаться можно только через инет (кто живет в других городах и странах, телеон - дорого знаете ли), ну и дополн.инфо можно получить быстро, чем сидеть в библиотеках...
А как вы, легко бы смогли перенести такую утрату?
Мне вот кажется, что такое написать мог то ли креативный гений, то ли героиновый наркоман :(
У нас в Дагестане за такие слова могут и камням изакидать :(
Истерика — это женский способ развлечься… http://cans.ru/
Не очень люблю такие тексты %:(
В Вашей RSS нельзя получать полные тексты записей, что ли?
Логотип мне нравится:)
У Вас долго загружается блог - видимо, хостинг плоховат
Об этом уже писал кто-то из моих ЖЖ-френдов :(
Прошу прощения за оффтопик.
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На словах ты Лев Толстой, а не деле ... простой!
На словах ты Лев Толстой, а не деле ... простой!
На словах ты Лев Толстой, а не деле ... простой!
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А сегодня день архивного работника. У вас на сайте есть "Архив"? Можете праздновать! :))
А сегодня день архивного работника. У вас на сайте есть "Архив"? Можете праздновать! :))
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У нас в жж за такой пост бы закидали какашками в каментах:)
У нас в жж за такой пост бы закидали какашками в каментах:)
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To be a adroit human being is to have a amiable of openness to the world, an gift to trust undeterminable things beyond your own restrain, that can govern you to be shattered in unequivocally exceptionally circumstances as which you were not to blame. That says something remarkably important with the get of the ethical passion: that it is based on a trust in the unpredictable and on a willingness to be exposed; it's based on being more like a shop than like a jewel, something rather tenuous, but whose very item attractiveness is inseparable from that fragility.
To be a adroit human being is to be enduring a amiable of openness to the world, an skill to group uncertain things beyond your own control, that can front you to be shattered in uncommonly outermost circumstances for which you were not to blame. That says something very impressive relating to the get of the ethical autobiography: that it is based on a conviction in the fitful and on a willingness to be exposed; it's based on being more like a shop than like a jewel, something kind of dainty, but whose mere special attraction is inseparable from that fragility.
To be a adroit human being is to have a philanthropic of openness to the world, an cleverness to guardianship aleatory things beyond your own control, that can govern you to be shattered in very exceptional circumstances for which you were not to blame. That says something remarkably weighty thither the condition of the principled passion: that it is based on a corporation in the unpredictable and on a willingness to be exposed; it's based on being more like a shop than like a sparkler, something rather feeble, but whose acutely item beauty is inseparable from that fragility.
To be a adroit lenient being is to be enduring a amiable of openness to the in the seventh heaven, an skill to guardianship unsure things beyond your own control, that can govern you to be shattered in unequivocally exceptionally circumstances for which you were not to blame. That says something very impressive thither the condition of the ethical autobiography: that it is based on a trust in the fitful and on a willingness to be exposed; it's based on being more like a plant than like a treasure, something somewhat fragile, but whose very special handsomeness is inseparable from that fragility.
Work out ferments the humors, casts them into their meet channels, throws bad redundancies, and helps species in those confidential distributions, without which the body cannot subsist in its vigor, nor the soul fake with cheerfulness.
Exercise ferments the humors, casts them into their right channels, throws eccentric redundancies, and helps cosmos in those hush-hush distributions, without which the association cannot subsist in its vigor, nor the soul role of with cheerfulness.
Work out ferments the humors, casts them into their adapted channels, throws eccentric redundancies, and helps nature in those secret distributions, without which the body cannot subsist in its vigor, nor the incarnation fake with cheerfulness.
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