The struggle for universal, affordable health care has come down to the realization that there is a critical need for public accountability, rather than just market accountability, for health care. Sen. Kent Conrad, however, threw a wrench into the gears with his proposal for a private, co-operative based, health care option that would compete at regional levels with private insurers.
The important details of Conrad's plan are unclear or, more likely, undecided, but commentators say he appears to be looking at the models provided by two large, non-profit HMO's, Minnesota's Health Partners or Washington's Group Health. If so, and if that is all there is to his plan, Gov. Dean is right: co-ops are not an acceptable compromise.
However, there are ways that co-operatives can work in health care, and there are successful policy models in American governance already in place:
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