Hey @Culinary226, check in with your government affairs people. There are not 60 votes in the Senate to ban the private health insurance you got in your union negotiations, nor will there be after the election. You're gonna be okay.
Yes, apparently the new strategy to win over support from organizations which don't like one of the core tenets of your preferred candidate is to reassure them that there's absolutely zero chance of that tenet ever actually happening.
Not Joe Biden. Not Pete Buttigieg. Not Amy Klobuchar. Not Michael Bloomberg. Not Tom Steyer. Not Michael Bennet.
Nope. This is none other than Senator Bernie Sanders of Vermont from July 2009, issuing a strong and vigorous argument in favor of adding a Medicare-like Public Option to the U.S. healthcare system to offer a "level playing field" and "fair competition" with private insurance.
I've cued up the video to the relevant starting point, but if it starts at the beginning for some reason, scroll up to 4:55 in. It runs until around 6:13.
Here's the transcript of Bernie during the section in question:
“No one is talking about a government-run healthcare system. No, they’re not. What they’re talking about is a public option that will compete and give people the choice! The choice of whether they want a public plan or a private plan! Why are you afraid of that? If the private plans are so much better, people will go into the private plan. If the public plans are more cost effective, more reasonable,if people prefer a Medicare-type program they’ll go into that. Why are you afraid of the competition?
Washington Health Benefit Exchange Issues Statement on Approval of Cascade Care Plan Designs
Washington Health Benefit Exchange (Exchange) board approved the design for Cascade Care plans today. Cascade Care plans are qualified health plans that have a standard health benefit design across health insurance carriers making it easier to understand and offer more value for Washington Healthplanfinder consumers.
Today, Pam MacEwan, CEO of the Washington Health Benefit Exchange, and Ron Sims, the Exchange’s Board Chair, issued the following statement regarding the approval of the designs as a step in implementing Senate Bill 5526 (Cascade Care):
Please watch this interview with Hillary Clinton. The whole thing is worth watching, but the portion about healthcare policy and the best route forward starts at around 9:20 in and runs less than 7 minutes, to 16:00 (It's supposed to be cued up to exactly 9:20 but you may have to scrub forward to get to it depending on your device).
Please take 6 minutes and 40 seconds out of your day to actually listen to the words which are coming out of her mouth.
UPDATE: Full, verbatim transcript by yours truly:
Andrew Ross Sorkin: “I want to talk to you a little bit about healthcare, because I know it’s an issue that you care about deeply and have thought a lot about.”
Hillary Clinton: “I have.”
Sorkin: “Because we seem to be in a very divided world, not just among two different parties, but even within the Democratic Party. Medicare for All versus a Public Option. You look at what Elizabeth Warren presented last week, and you think...what?”
I honestly haven't written or read much about this since I wrote about it in April, but the Colorado government is making good on its promise to put forward a serious Public Option proposal.
While Washington is technically the first state to create their own state-based Public Option, the reality is that while I do give them plenty of credit for getting the ball rolling (their PO is scheduled to go into effect starting in January 2021), what they're doing isn't quite what most people have in mind when they think of a PO.
Washington is essentially outsourcing administration of a healthcare plan to an existing carrier, with the state government negotiating the provider network and reimbursement rate levels...which have been set to 160% of Medicare rates. There's nothing wrong with this, and it's an important move forward...but it's only expected to shave perhaps 5-10% at most off of costs because any negotiated rate settings are partly cancelled out by the cost of the private carrier doing the administration.
I haven't written much about South Bend, Indiana Mayor and presidential candidate Pete Buttigieg. The biggest mention I've given him until now was back in March, when he stated that he's an advocate for a robust Medicare-like public option plan.
Today, however, "Mayor Pete," as he's come to be known, rolled out his official healthcare overhaul plan, and sure enough, it centers on...a robust Medicare-like public option. He calls it "Medicare for All Who Want It":
BECAUSE HEALTH CARE IS A HUMAN RIGHT, GUARANTEE UNIVERSAL COVERAGE THROUGH MEDICARE FOR ALL WHO WANT IT.
The Medicare for All Who Want It public alternative will help America reach universal coverage by providing an affordable insurance option to the currently uninsured. The public alternative will provide the same essential health benefits as those currently available on the marketplaces and ensure that everyone has access to high-quality, comprehensive coverage.
Politically, it's generally better to underpromise and overdeliver. Unfortunately, when it comes to the actual legislative process it's usually the other way around.
Case in point: Connecticut.
It was just twelve days ago that Connecticut Governor Ned Lamont rolled out his proposed ACA improvement policy package, which included a bunch of key elements including the ballyhooed "Connecticut Option"...a Public Option which would have opened up the existing state employee healthcare plan to anyone on the individual or small group markets.
The full suite was supposed to include nine major provisions:
Lawmaker proposes Medicaid buy-in and individual mandate for Oregonians
Representative Andrea Salinas, the new Chair of the House Health Care Committee, recently filed a bill that aims to establish a Medicaid buy-in option for Oregon residents. The bill, HB 2009, would also establish a “shared responsibility penalty,” or an individual mandate for Oregonians.
HB 2009 would essentially allow individuals who do not qualify for Medicaid, or for premium tax credits under the Affordable Care Act, to enroll in CCOs by paying premiums to cover their health services.
reinstating the ACA's individual mandate penalty (similar to what Massachusetts, New Jersey and DC have done and what California is in the process of doing)
implementing a state-level reinsurance program (as over a half-dozen states, including several GOP-controlled ones, have done)
