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Liberals Ought to Ditch the Public Option

An incentivized private market can cover everyone, at lower cost

By Kevin Spak,  Newser Staff

Posted Sep 8, 2009 11:40 AM CDT

(Newser) – Liberals need to abandon the notion that no health care reform is acceptable without a public option, former Clinton aide and health industry consultant Matt Miller writes in the Washington Post. Progressives’ top priority should be to make sure every American can access group coverage outside an employment setting, and this is our best chance to do that in a generation.

Switzerland and the Netherlands have proven that it’s possible for private insurers to cover everyone at lower cost—there, government incentives, including "risk adjustments," or subsidies for more expensive enrollees, have insurers clamoring to cover the sick. “Yes, it means that we’ll have billions of ‘health’ dollars siphoned off by middlemen and marketers,” Miller allows. “But if liberals think of it as a jobs program, they’ll learn to love it.”

Anna E. of New York, right, and others participate in a vigil to support a public health insurance option Wednesday Sept. 2, 2009 in New York.
Anna E. of New York, right, and others participate in a vigil to support a public health insurance option Wednesday Sept. 2, 2009 in New York.   (AP Photo/Tina Fineberg)
Bea Lieberman, of New York, left, and others participate in a vigil to support a public health insurance option Wednesday Sept. 2, 2009 in New York.
Bea Lieberman, of New York, left, and others participate in a vigil to support a public health insurance option Wednesday Sept. 2, 2009 in New York.   (AP Photo/Tina Fineberg)
Protesters call for a public health insurance option during a demonstration outside an Independence Blue Cross building in Philadelphia, Thursday, Sept. 3, 2009.
Protesters call for a public health insurance option during a demonstration outside an Independence Blue Cross building in Philadelphia, Thursday, Sept. 3, 2009.   (AP Photo/Matt Rourke)
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COMMENTS
Showing 3 of 34 comments
Snarfeh
Sep 9, 2009 12:32 PM CDT
Jesus would be *for* a public option. Jesus was a liberal, ya know...love that about him....
Dr.Y.Dino
Sep 9, 2009 12:10 PM CDT
Sorry dax, but the cost of a government "middle man" will end up cost far more than the profits you complain about. I can buy a hammer for $20 at Sears, but the Gov't paid $500 ... and that doesn't count all the staff they used to assure they were getting the lowest bid. I agree many "reforms" are needed, including tort reform, but having the gov't run health insurance will NOT end up costing less. Remember, gov't managers are not ever paid to cut costs or .staff.. In fact, they earn more if they have larger staffs. Gov't managers can't get rid of bad employees, so their best hope is to get them transferred. Ex: The OFHEO employeed hundreds at a cost of Millions per year for 18 years with the sole task to monitor Fannie Mae and Freddie Mac. All they did was hire more people to cover their butts and deflect blame away from themselves. AND that doesn't count the millions more paid to KPMG to audit their books. The waste included in any gov't run enterprise far and away exceeds the profits made by companies competing against each other in a free market. Remember the IRS spends tens of billions each year on tax software that TurboTax and others can sell for less than $50. Remove politics and outsource the IRS in a competitive market and taxpayers could save 90%, at the very least. Profits are not bad, excessive monopolistic profits are bad, but gov't waste is far more expensive and just plain stupid!!!
cornelison
Sep 9, 2009 8:39 AM CDT
Say that to the 43,000,000 who have no insurance. Is it just the minority of Americans who care about them? Aren't they worth helping?

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