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Health Care Reform: Sifting Through the Suboptimal Solutions

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If the fight over health care reform has proven anything, it's just how broken our system has become -- from the crippling influence of money on our politics to the way the modern misuse of the filibuster has taken away the power of the duly elected majority and handed it to a handful of bought-and-paid-for senators (yes, I'm talking about you Joe Lieberman).

This disturbing and destructive state of affairs has created a country that is, in the words of Tom Friedman, "only able to produce 'suboptimal' responses to its biggest problems."

And that's where we find ourselves on health care as we head towards the legislative end game. The big optimal solutions have all been gutted -- and we are left to pick through the patchwork of suboptimal ones.

What makes this exercise harder is that the details seem to change form more frequently than the characters in Twilight. At the moment, and while we are waiting for the latest CBO score, "the whole town," as Mike Allen puts it, "is talking about a proposal that few have seen, and none understand."

One by one, Congressional leaders who said they would not support a bill without a public option have come to the conclusion that, on second (or third or fourth) thought, they actually will. Leaving aside what this does to the already tattered trust the public has in their representatives, is a progressively watered-down public option preferable to a Medicare expansion combined with a national non-profit insurance plan similar to the one offered to federal employees, regulated by the Office of Personnel Management?

Bernie Sanders, one of the leading advocates of the public option, is now arguing that these proposals combined "may be stronger than the very weak public options that both the House and the Senate have already passed."

Jacob Hacker, the godfather of the original public option concept, also approves of the proposed expansion of Medicare, calling it an "enormous positive development."

Of course, expanding Medicare by allowing those 55 to 64 to buy into the program won't be subsidized for the first three years and therefore may end up being prohibitively expensive, especially if it ends up being an expansion of Medicare not tied to Medicare rates.

Amidst the tea leaf reading and jockeying for political position (at least among Democrats; Republicans are united in their commitment to kill reform) it's important not to lose track of the things that absolutely have to be included in any health care bill for it to deliver reform in more than name only.

It has to expand access to include as many of the 46 million uninsured Americans as possible. Both the House version and the current incarnation of the Senate bill go a long way to meeting this goal.

It has to create competition and reduce costs. In the end, it doesn't matter if this is accomplished by creating a government-run non-profit insurance provider (the so-called "public option") or by adopting a national privately run system that is heavily regulated by the federal government, and allowing those 55 to 64 the "option" of buying into the Medicare program. It's not the label we give these that matters, it's the end result: competition and cost reduction. The current bill mandates that most Americans get insurance coverage, creating 30 million new customers for the insurance industry. These new customers have to have options -- especially less expensive options -- or this will be a massive windfall for insurance companies.

The best way to provide more choices for consumers is through the latest incarnation of Sen. Ron Wyden's Free Choice Act, which he is offering as an amendment to the health care bill. The provision would give employees the ability to choose their own insurance plans within the insurance exchange -- instead of having to accept the plan chosen by their employer, as is the case in the bill Harry Reid brought to the floor of the Senate.

To qualify as real reform, the bill also needs to give Congress the ability to negotiate with the drug companies over Medicare prescription drug prices. The White House cut a deal with PhRMA taking away this ability to negotiate. That agreement is still part of the Senate bill but not part of the House bill -- and should not survive the conference process.

And, knowing how quickly things can get slipped into bills, or carved out of bills, in the dark of night, we have to ensure that the positive elements of the current bill don't suddenly vanish -- especially the provisions that keep insurance companies from denying people coverage on the basis of pre-existing conditions or dropping customers when they actually become sick.

If the final bill contains all these elements, it will be a suboptimal solution worth supporting.

Then we can move on to the business of fixing our broken system, so we can get back to being a country able to produce optimal responses to our biggest problems.

 
 
 

Follow Arianna Huffington on Twitter: www.twitter.com/ariannahuff

If the fight over health care reform has proven anything, it's just how broken our system has become -- from the crippling influence of money on our politics to the way the modern misuse of the filibu...
If the fight over health care reform has proven anything, it's just how broken our system has become -- from the crippling influence of money on our politics to the way the modern misuse of the filibu...
 
 
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08:24 PM on 12/15/2009
I wish for once the government would actually be for the people. I wish for once elected officials would feel something for the voters. This is an insult. Do they actually believe we don't understand? I guess they will realize it when eventually a new group of Dems start running in primaries against the old school and actually do the job they were hired to do. I am so sick of "deals" with Lieberman and Reid and the bluedogs. What do these guys have on the others that have suddenly had a change of heart? People will know they got screwed still in 2010. We are that smart!
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HUFFPOST SUPER USER
stevendedalus3
12:43 PM on 12/14/2009
Choice is the tag most often misused in the current health reform debacle. Aside from first year come-on gimmicks, all insurance companies are pinned to the same actuaries and eventuate delusion into collusion. The absolute minimal essentials are no more precondition clauses, no ands, ifs and buts to legitimate care, yes to county mandated free walk in clinics for all uninsured, taking the place of Medicaid , every infant hence born is given a government healthcare certificate, and price controls on all aspects of the health industry.
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HUFFPOST PUNDIT
Artos
Down with Tyrants
10:22 AM on 12/14/2009
The Biggest security threat to America today is it's own leadership. Our Congress is so completely bent it's not funny. Our Military is run by Generals and Admirals who prefer to look after their careers than to do what's right, and our Presidents are either totally inept like Bush, or refuse to listen to the people who elected them, like Obama. Either way I have absolutely no confidence in any of them. As for the Health Care Program that they want to pretend is supposed to help us, well they can stuff that one where the sun doesn't shine. With the Program that they are trying to pass they might as well just never have even tried to pass one at all. One way or another it will never be good for the Average American.
01:26 AM on 12/15/2009
Well said. I have long been of the opinion that the DoD and CIA are the greatest threat to our "national security" (whatever that means), by being the root cause of all anti-American feelings throughout the world. But you've done me one better and I agree 100%.
06:31 AM on 12/14/2009
This fiasco has little to do with insurance and everything to do unfettering the ability of Congress to levy taxes. Many legislators seek to make the people of this country dependent upon the gov't. (It is easier to get re-elected by accusing the opponent of taking 'gov't provided benefits away.)

If the 'gov't' were really interested in 'fixing' the system, they would address the causes driving up the cost of healthcare.

1 - The Rx industry (which collects 30%+ of every dollar health insurance companies collect). Big pharma spends only 10% of their revenue on R&D and a full 50% on advertising!!! The U.S. public ultimately pays for this advertising.

2 - The AMA, which limits the number of docs entering the market place to limit competition.

3 - Mega hospital conglomerates own most PPO networks, collecting 15% to 20% of EVERY dollar paid to ins.cos. Insurers are very good at predicting the incidence of claims; but need the medical service costs guarantees the PPOs provide to budget for claims.

Politicians, regatrdless of what they say, are far more corruptible and inherently have greater conflicts of interest than does industry. Politicians bear little accountability. Except in cases of outright embezzlement, they seldom are brought to justice over THEIR actions, no matter how self-serving their actions are proven to be. Amazingly, most unscrupulous legislators even get re-elected.

While one can sue an private cos. for damages, can one really sue the gov't or its agencies for damages?
10:54 PM on 12/13/2009
Is it too late to just marry a Canadian and get healthcare that way?
04:25 PM on 12/14/2009
You would not want it. A friend of mine moved to British Columbia and the first pay day found over 50% of his pay gone. He left Rapid City SD and a good paying job for what he thought was a raise in pay. However his pay after taxes was less than what he was making in the US.

However in all fairness he had a heart attack and everything was taken care of. Good! he owed nothing when he left the hospital and all is meds was free. Good! Great ! Fantastic! Not Really! he has been on a waiting list for over 5 years now for a knee replacement as he continues to get bumped for younger more work able individuals. HE told me that he requested a cost analysis of his stay and got the figures. Taking in to account 50% of his check was taked for years and the cost of his surgery and the rationing of his care he has paid nearly 20 x times what he would have paid in the us. and would have gotten the replacement without waiting! So much for government run health Care!
05:00 PM on 12/13/2009
Put a strong public option into the bill, then ad an amendment eliminating all gun restrictions that the NRA ask for(i know its compitulating too the Gun lobby but guns are so less important then Health care for all americans, we can legislate guns later with tighter restrictions) this would force the republicans to vote for it I don't see how the republicans could vote against it and bite the hand that feeds them. If the republicans can vote against it, it would cause major problems for the NRA who to support, and give all the blue dogs the cover they need.
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powder chowder
☮ Peace: the final frontier...
12:46 PM on 12/13/2009
Perhaps they should give it a different name like; "patriot's option" or "freedom choice" or "liberty plan", you know, like the rethugs did to try and disguise their legislation. Maybe with the right name the conservatives would buy into it. "Public Option" just doesn't sound patriotic enough...
07:48 AM on 12/13/2009
Getting more people covered by insurance is good, but no amount of tinkering with insurance will reduce healthcare costs. When we separate the payer from the consumer, we crate incentives for irresponsible spending.
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HUFFPOST SUPER USER
stevendedalus3
12:47 PM on 12/14/2009
I'm weary hearing about doctors and patients abusing the system; 99.9% want only necessary treatment.
06:53 AM on 12/13/2009
The idea that medicare is broke and broken and we want to adopt this for every one boggles the mind. As for this 90% going towards health care sounds like lawyer's employment bill, its all in the wording. How much administrative cost is there in the Not-for-Profits, and there is no administrative cost in any of upteen thousand charities that are out there. As good as these things are and in many levels they are. There are still a lot of people that make good living from these charities and nonprofits. Even though that $500.00 hammer is not a thing of the past the single payer insurance or health care is the only option that is going to work. If they "government" can get 90% of the cost of health care for care so much the better.
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William1950
everything I say could be wrong.
11:37 PM on 12/12/2009
It's time to say enough already. Stop the madness. Throw health care reform to the wolves... enough. It's obvious that anything that will come our of washington will be worse than what we have now... What they are proposing is to mandate by penalty of law that we all buy insurance from mobsters... from theives and monsters... buy it or pay the price by going to jail.... buy a defective product at higher prices than you can get it for now... because golly gee.. we will have to take care of all those sick people who are poor...
there will be no single payer plan. the only way to fix our mess as agreed by almost anyone with a brain, but because of the lobbyists, because of the mobsters single payer has been branded "socialist" ... and the sheep bleat "we can't have socialism".. they don't want the old people to be killed by the government... the brainless being led by the bought..
so just stop it now...
Washington, go on your Christmas break. Go home. You have done NOTHING for America... We will be better if you all just stay home and stop meddling. I would look forward to the next election, except there is no one who can help our corrupt system.
06:20 AM on 12/13/2009
You are right there is no elected officials helping the American PPL. How can we fix the health care system when we have Senators like Joe Liberman who are being paid and bought for from the influence of money in our political system. The White House cut a deal with Pharma not to give Congress the ability to negotiate with the drug co. over medicare prescription drug prices.
In my world one goes to jail for corruption.
As long as there is money in the picture in politics our system will not be fixed.
Seems like the capitol can not get it right since the beginning of time.
We are sick and tired of tax this tax that! Washington needs more money they add another tax.
What are they doing with our money??????
Elected officials sure know how to steal the publics money. Now is the time to pay us back!!!!!
AND THE FEDS WENT AFTER BERNIE MADOFF FOR STEALING OPM!
WHEN ARE THE FEDS GOING TO GO AFTER THE CORRUPTED ELETED OFFICIALS IN WASHINGTON?
10:57 PM on 12/12/2009
The solution to the Health Care Problem is as clear as day, to me.
The Democrats have no choice but to deliver the goods. They must deliver soon enough for prospective voters to feel, touch, and taste what the Democrats have wrought. This is the only way for the Democrats to counter the deceptions and lies of their enemies, the Republicans and the Insurance Industry.
If they fail to deliver in such a way, the Republicans will rebound in Congress and reap vengence surpreme.
The only chance Democrats have is to rebuke the corporations and embrace medi-care for all. They must do it quick enough for the people to try it, and embrace it. Once the people adopt it, they will go to the polls and vote to keep it.
The only crack in the logic of this strategy is the existence of golden umbrellas for Congressmen, and massive campaign contributions from the rich class and from corporations.
The solutions to those problems are:
1. A 10 year ban on Congressmen , White House and Congressional Staff from taking employment from Corporations who lobbied them.
2. A progressive tax on campaign contributions to reflect the true cost those contributions have on our country.
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William1950
everything I say could be wrong.
11:45 PM on 12/12/2009
there is no nefarious subplot of right vs left ... no enemy of democrats... they are all in it for the money. period.
10:44 PM on 12/12/2009
Relax all. Let us just get the politicians out of the healthcare debate.

Remember the entire Western world, including USA, has a manageable healthcare system run by doctors and hospitals. Yes, healthcare-on-demand is and should be over. Beyond true medical care, the family will have to care for their own relatives; instead dumping their 'near and dear' ones on a healthcare system to be taken care-of by "the system"- akin to the educational system.

Let's face it. Each one of us is responsible for the high cost of public services we receive from "the System" and the decline in our own social values; because we have failed in our own next-of-kin social network.
07:15 PM on 12/12/2009
The only heathcare I am interested in is the same one that the Senate and House have. You better believe that that will never happen. What is good for Congress is not good enough for we the people.
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HUFFPOST PUNDIT
Artos
Down with Tyrants
10:36 AM on 12/14/2009
if They are receiving at our expense a medical plan that takes care of their needs, but they in turn won't see that the rest of America has it then we need to register our displeasure with them, and see to it that they too pay their own way. Who gives them the right to take from us without our consent? Are we Americans permitted to set our own wages and determine our benefits? No. We have to plead with them for anything that we wish to have. Who pays the taxes? We do. Should they have the right to award themselves whatever suits them and yet to deny those who pay the taxes? I think not. The time is fast approaching when Americans must ask themselves, "Is it time for a third, or even a fourth Party?" . The two we have think that they have the Political Scene cornered. It's up to us to divest them of that fantasy.
06:11 PM on 12/12/2009
We keep avoiding the real problem in health care - insurance. We need health C.A.R.E, not health
I.N.S.U.R.A.N.C.E. .....Insurance is the problem, not the solution. What the hell is so damned difficult in understanding this? Every industrialized, civilized nation has health CARE for ALL their citizens. Only America has to take something that is simple and make it complicated.

The only real, sane way of delivering health care to all Americans is by single payer - period. The present insurance tied system is so intertwined with business, insurance, medical supply companies, medical employees, teachers, and doctors, that is is impossible to separate one without disrupting all the others. They're like parasites that live on the sick who have no power to help themselves.

We don't need a band aid to fix a system that requires major surgery. We need to kill the beast it has become. Lost in all this administrative bureaucratic BS is the real reason we need change - to keep people from becoming patients in the first place. If ever the old saying that an ounce of prevention is worth a pound of cure it's, now in this screwed up mess we call a health care delivery system. Single payer will accomplish what all the complicated intertwined morass can not - institute a preventive medicine establishment that hold s down illness, gives more and better care, and puts an end to exploding casts. Where do we go from here?
08:03 PM on 12/12/2009
Exactly as I've been saying : Congress is not working out an optimal health care system they are working on health "insurance" reform and hoping some of the potential good will trickle down. That billion page monstrosity is absurd and totally unnecessary. A dog and pony show which will leave us all still strapped with co-pays and exhorbitant medical and drug bills that we will continue to pay outrageious insurance premiums for and require supplementary insurance to cover what the isurance doesn't. Insuring the insurance so to speak. ! It's close to useless and not even good to wipe with ! The dullards in congress pretend not to notice these facts and go on about the business of passing a useless bill which will most of all guarantee that we all pay the insurance companies ; first and foremost ! Even the Pres is in with this : What an idiot ! Expanded Medicare is no help : I'm not 55 and I've paid into Medicare all my life : why would I want to "buy in " to it now ? Stupid ! If they want to do that then give me back the money I've paid in so far !
10:01 PM on 12/12/2009
You need to do some research...your facts are wrong.
It's important not to spread misinformation
here...start with Switzerland
http://en.wikipedia.org/wiki/Healthcare_in_Switzerland
05:41 PM on 12/12/2009
Arianna's last statement says that we should fix our 'broken' system and yet it is not broken. It actually works exactly as it was set up to, an agreement between corporations and politicians to create highly profitable monopolies. This has occurred numerous time in our history. It is when we realize that the profiteering activities cause social distress that we understand there is a problem and feel that the system is broken. It is, but only in the context that it was never set up for the greater good, it was set up to generate huge profits for those who had the ears of the politicians. We were sold down the river a long time ago, now we have to come up with a solution that removes power from those who have held it for a long time (and no one likes to give up power) which means dismantling the existing system and creating something that is equitable, balanced, and whose focus is on its charter, instead of on corporate profits.
05:47 PM on 12/12/2009
Unfortunately, you are so right...It's a sad commentary on our political system and it's ties to big business...WE THE PEOPLE are screwed.
08:06 PM on 12/12/2009
I could not have said it better !