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Robert Reich

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A Back Door to the Public Option

Posted: 06/14/2012 11:17 pm

Any day now the Supreme Court will issue its opinion on the constitutionality of the Accountable Care Act, which even the White House now calls Obamacare.

Most high-court observers think it will strike down the individual mandate in the Act that requires almost everyone to buy health insurance, as violating the Commerce Clause of the Constitution -- but will leave the rest of the new health care law intact.

But the individual mandate is so essential to spreading the risk and cost of health care over the whole population, including younger and healthier people, that some analysts believe a Court decision that nixes the mandate will effectively spell the end of the Act anyway.

Yet it could have exactly the opposite effect. If the Court strikes down the individual mandate, health insurance company lobbyists and executives will swarm Capitol Hill seeking to have the Act amended to remove the requirement that they insure people with preexisting medical conditions. They'll argue that without the mandate they can't afford to cover preexisting conditions.

But the requirement to cover preexisting conditions has proven to be so popular with the public that Congress will be reluctant to scrap it.

This opens the way to a political bargain. Insurers might be let off the hook, for example, only if they support allowing every American, including those with preexisting conditions, to choose Medicare, or something very much like Medicare. In effect, what was known during the debate over the bill as the "public option."

So in striking down the least popular part of Obamacare -- the individual mandate -- the Court will inevitably bring into question one of its most popular parts -- coverage of preexisting conditions. And in so doing, open alternative ways to maintain that coverage -- including ideas, like the public option, that were rejected in favor of the mandate.

The fact is, there's enough the public likes about Obamacare that if the Court strikes down the individual mandate that won't be the end. It will just be the end of the first round.

ROBERT B. REICH, Chancellor's Professor of Public Policy at the University of California at Berkeley, was Secretary of Labor in the Clinton administration. Time Magazine named him one of the ten most effective cabinet secretaries of the last century. He has written thirteen books, including the best sellers "Aftershock" and "The Work of Nations." His latest is an e-book, "Beyond Outrage." He is also a founding editor of the American Prospect magazine and chairman of Common Cause.

 

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02:19 PM on 06/28/2012
Dr. Reich, what do you think about the ruling today? Do you think there is any chance this could be the first steps of moving to a real single-payer system?
12:58 PM on 06/27/2012
Is it just me or should Robert Reich run for office?? He has such tremendous experience and clarity on critical topics affecting our economy and society. Run Robert Run.
01:08 AM on 06/18/2012
For all those who object to the ACA, a simple proposal: Would you support ending all tax subsidies for employer-sponsored health insurance?

Of course I'm including any tax benefits the employer himself might receive for providing insurance, but I'm also suggesting that we need to begin treating the value of the employer contribution as income received by the employee. We could save billions every year if we took this simple step.

My own belief is that absolutely everyone who wants insurance should buy it on the individual market. No exceptions. No more subsidies for employer-sponsored insurance, no more special tax treatment for some Americans at the expense of other Americans. Individually purchased insurance may be more expensive--a great deal more expensive--and more unreliable than employer-sponsored insurance, but I believe if we make this simple, fundamental change, it will act as a bracing tonic for American individualism. And I don't see any section of the Constitution that says we should subsidize employer-sponsored health insurance.

Do I have support for this simple change from all the libertarians out there? All those who oppose the ACA? Are you with me?
Or are you going to hypocritically demand tax subsidies for yourselves?
05:33 PM on 06/24/2012
You have my vote, but legalize consumer buying groups of any size or shape. We can then have the protection of numbers without government intervention.
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claraluz
Per aspera ad astra!
01:29 PM on 06/25/2012
And of course, let's throw under the bus all the people who have lost their jobs, are frantically looking for work, or trying to survive on a minimum-wage job, and their families. After all, young kids cannot vote so who cares if they die unnecessarily? We have too many people anyway, and if they are from such poor families obviously they are not good solid WASP citizens, so good riddance. No ACA and no subsidies! Let's save all those billions! If you cannot afford it, that's YOUR problem! Gee, I really love your proposal, it makes feel good inside because it reminds me of my dear uncle Herr Hitler. You got my vote.
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TeaIs4Drinking
Waiting patiently for the job creators.
09:56 PM on 06/17/2012
The nickels are flowing.
09:42 AM on 06/17/2012
Reich's book was a fantasy and so is his political sense. The public is not real big on statist liberals right now. (There was an election in 2010, remember.) And Romney is certainly not going to endorse a government run health care system. And even if the messiah is reelected (we have him on tape endorsing single payer), he would have no ability to get one passed.
Oh, that public support for ignoring pre-existing conditions for health insurance purchasers; it's one of those things the public supports until there's a discussion of what it really means. Say, "Mr President, if requiring health insurance companies to issue policies for those with pre-existing conditions is good, do you suggest we extend the principal to other kinds of insurance? Can I buy auto insurance after I've totaled my car or homeowner's after my house has burned down? Do you think the self-responsible people who buy insurance before a loss will pay the premiums needed to carry those who haven't?"
09:23 AM on 06/17/2012
So when the mandate is ruled to be unconstitutional, then the next step is to mandate everyone to have a government insurance policy.....do you see how that doesn't work out there?
07:17 PM on 06/19/2012
Uh, no darling, then it becomes a tax. That's why much of the arguments in this case centered on.
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07:35 AM on 06/17/2012
Poor Dr. Reich is like Don Quixote tilting at windmills. At any time I expect for him to call for his fearless steed Rosinante and his squire Sancho Panza. He is a truly good, sincere academic who has no clue of how the real world works. A fine brain, but Dr. Reich always wants to spend someone else's money. More's the pity.
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claraluz
Per aspera ad astra!
01:37 PM on 06/25/2012
"Poor" Dr. Reich is one of the few pundits who consistently makes sense and shows he has a consience and is aware of social obligations. He knows how the real world works, but keeps hoping that reason and conscience will eventually win out because he understands that we are on the path to a possible "conservative" hell -- I write "conservative" in quotes because this word does not have the same meaning it once did, now it simply denotes uncontrolled greed, selfishness, moral corruption and a return to the law of the jungle.
05:54 AM on 06/17/2012
The media seems to forget there are over a thousand exemptions to this law already and Congress exempted themselves early in the game. Doesn't that make you feel something is terribly wrong with this health care mess?
12:21 AM on 06/17/2012
Mr. Reich:

The Act is the Patient Protection and Affordable Care Act not.- as you state in the first sentence -the Accountable Care Act. In fact the Act does everything it can to avoid accountability. Giving free gifts to others like free abortions, abortifiacients and birth control, even to those with religious objections.

A little Freudian slip here, maybe.
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claraluz
Per aspera ad astra!
01:41 PM on 06/25/2012
Terrible, isn't it, to give "free" gifts - even though so many of those recipients do pay insurance premiums? I suppose those little blue pills so dear to the heart of male fiscal conservatives will still be provided as "free" gifts?
11:52 PM on 06/16/2012
Medical liability reform. Problem solved.
05:37 PM on 06/24/2012
This will accomplish little to nothing. The problem is way too many government rules and regulations. Examples: You cannot see a physical therapist without a physician prescription. You cannot refill medicines without a physician prescription. The act makes it virtually impossible for a group of physicians to build a new hospital. In other words, the government drives up the price of medical care by creating all sorts of little fiefdoms. You should be able to control your own body, and seek the advice of whomever you trust.
10:53 PM on 06/16/2012
Memories are very short when 85% of the public screamed at Congress that we did not want their health care bill but the government thought the ten percent that weren't covered dissevered the government making the rest of the Country cover the expense.
08:17 PM on 06/16/2012
Democrat lawlessness will soon come to an end. Leftwingers should quit while they are ahead. The more they push, the higher the resistance level rises. I don't expect they will learn from the spanking they got in 2010, nor in the recent Wisconsin failed recall. Taxpayers smell blood in the water.
09:55 PM on 06/16/2012
Could you explain what you mean by Democratic lawlessness?
02:54 AM on 06/17/2012
Democratic lawlessness (at least, in the context you're thinking of; Democrats as a group don't respect laws per se) means the seemingly genetic tendency and preference Democrats have of ignoring the rule of law and the Constitution when they either (a) disagree with a law, or (b) decide that the Constitution doesn't apply.

The one fact of American jurisprudence, history, and the founding of the Republic that Democrats/liberals/progressives forget and disavow wherever they need to, or choose to, is this: the Constitution is the bedrock document, along with the Declaration of Independence, of the American experience. It sticks in their craw every time they're asked, or it's demanded, that they respect the Constitution (and its' limits on government) .... and few are guiltier of this than Barack Obama.

That's one reason he's going to be a one-term President; and he won't fully understand why, until one day when he actually reads the Constitution and says to himself, "Wow ... I really governed outside of the lines and the rule of law, didn't I?"
05:59 AM on 06/17/2012
How about when our Attorney General said, "We will not prosecute my people", now what do you think about that?
06:36 PM on 06/16/2012
As to options for insurers, if the mandate is dropped but guaranteed issue remains, wouldn't the insurance companies simply cease operations in the health care field? Why does Reich think they'll just magically stay in business and only sell policies to people who are already on their way to the hospital and who will cancel their policy as soon as they get out of the hospital?
10:05 PM on 06/16/2012
As to why they would keep operating in the healthcare field, because they still would be making large profits.

"Health insurance companies spent millions of dollars in an effort to prevent passage of the U.S. health care overhaul two years ago because they thought it would raise costs and disrupt coverage. Those companies have had their biggest profit margins since the recession began, according to a Bloomberg government study.

Insurance companies recorded their largest quarterly net gains of the past 10 years since the law was signed in 2010, said Peter Gosselin, the author of the study and senior health care analyst for Bloomberg government.
During that time, the Standard and Poor's 500 Managed Health-Care Index went up 36 percent".
-Deseret News Jan 2012

"In the midst of a deep economic recession, America's health insurance companies increased their profits by 56 percent in 2009, a year that saw 2.7 million people lose their private coverage.
The nation's five largest for-profit insurers closed 2009 with a combined profit of $12.2 billion, according to a report by the advocacy group Health Care for American Now (HCAN)".
-ABC news

Also read this commentary about how medical insurance companies make their profits.

http://www.timesunion.com/opinion/article/Insurance-companies-plans-ensure-profits-3612100.php
05:42 PM on 06/24/2012
Mr. Reich fails to state the obvious. I would be shocked if the SCOTUS struck down only the individual mandate, because if they do this, all private insurance companies will go bankrupt within a short period of time, leaving only a government run system. (Why buy insurance for medical care and pay premiums when they have to sell you a policy regardless of your state of health? I would drop mine in a heartbeat.) The "conservative" justices on the supreme court have to understand that wiping out the mandate makes them personally responsible for instantly creating a single payer government run system. I doubt John Roberts wants to be remembered in history as the father of government controlled medicine in the US.
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jstanavgguy
Proud member of the evil 1%
06:32 PM on 06/16/2012
Here is the really funny thing.

Congress, through it's power to tax, could have instituted a public option from the very beginning. And it would have been completely constitutional. BUt they did not want to do that.

Why?

Well, they did not want to pass a tax increase on the middle class, as this would have ended up. They TALKED about it. But they did not have the courage of their convictions to actually DO it.

Now, with the elections coming up a few months after Obamacare is tossed, do you really think that ANY of the Democrats will be talking about doing something that remotely resembles a tax increase?

No, they will not.

Face it. You had your chance, and you blew it.
10:08 PM on 06/16/2012
They also didn't pass the public option because the health insurance companies poured $86.2 million into the Chamber of Commerce to keep it out of the law. Instead we get insurance companies with mandatory customers.
05:46 PM on 06/24/2012
Absolutely, that is why the bill has to be declared unconstitutional. Do you really want a federal government that has the power to force you under penalty of law to buy things?

Every Congressman can start buying votes by creating laws which mandate such things as buying a sandwich at Subway once per week or face IRS penalties.
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Justly James
intolerant of intolerance
07:08 AM on 06/25/2012
If the so-called “private mandate” is upheld, it will be because, despite the unfortunate label of “penalty”, the consequence of not buying insurance is in fact a tax, collected by the IRS, calculated by formula to be equivalent to the estimated premium for such coverage (which is not the way penalties and fines are typically imposed). Even then, the Act takes from the IRS most of its enforcement tools: Section 1501(g)(2)(a) specifically provides a waiver of criminal penalties in the case of any failure by taxpayer to timely pay the "penalty" imposed by the Act. It says the taxpayer shall not be subject to any criminal prosecution or penalty with respect to such failure. The Act, in essence, has no enforcement provisions. I suspect you will see this view expressed in the opinion of at least one Justice (whether in the majority of as part of a dissent).
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Justly James
intolerant of intolerance
11:43 AM on 06/28/2012
Woo hoo! Did I nail it or what!
12:25 PM on 06/16/2012
The US health care system is a financial disaster. The rest of the developed world is spending around 10% GDP. We're spending 18%. Why? Pork for insurance and drug companies and limitless end-of-life spending for the aged. Medicare is more efficient than any private insurance - that's why the government reimburses private companies under Medicare Advantage at more than the Medicare cost. If you want a public option that will dive costs? Expand the Veteran's Administration offerings.

Insurance companies have complicated risk models that they can adjust with the law changes. It's like trying to beat the house in Vegas. The game is rigged - they always take more off the table in negotiations and if the GOP is the negotiator for the government, they take all the chips for themselves.
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jstanavgguy
Proud member of the evil 1%
06:32 PM on 06/16/2012
Limitles end of life spending for the aged?

Are you advocating the 'death panels' that the left told us would never happen?
09:53 PM on 06/16/2012
So you think the government will be able to better cut the pork, waste and abuse? If they could, we wouldn't be in this position in the first place. The only thing more corrupt than big business is the government.