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View Diary: Why We Need the Public Option, and Why Co-ops Don't Fit the Bill (176 comments)

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    •  We've just begun to fight, this is our line in (11+ / 0-)

      sand. We are not going away, we are not caving in.

      My idea of an agreeable person is a person who agrees with me. Benjamin Disraeli

      by pvmuse on Thu Aug 20, 2009 at 12:54:46 PM PDT

      [ Parent ]

      •  Key point from McJoan, which, if understood, (11+ / 0-)

        should motivate more in this economy to work for public option:

        ... an essential part of lowering costs throughout the entire system.

        People have been mislead into believing that the public option would be wasteful and increase costs.  

        This story should be passed around.

        •  Absolutely -- the p.o. has been portrayed as an (4+ / 0-)

          expensive government run plan, instead of the best possible way of not only providing choice, but also REDUCING COSTS.

          It is critical to realize that in the overwhelming majority of markets, there IS NO COMPETITION AT ALL. This excellent report (pdf) clearly documents that in almost two-thirds of the nation's metropolitan areas, a single insurance company has cornered more than one-half of the market, and in one quarter of metropolitan markets, a single company has 70%(!!!!) of the market.

          There is simply no way of controlling costs in this kind of environment without a nationally available public option.

          The other point that is not emphasized sufficiently is that HR 3200 does not put the public option into place until 2013. That is WAY TOO LATE - it needs to be implemented immediately.

          "But there is so much more to do." - Barack Obama, Nov. 4, 2008

          by flitedocnm on Thu Aug 20, 2009 at 01:28:19 PM PDT

          [ Parent ]

          •  flitedocnm, 2013 is way too late. My unemployed (4+ / 0-)

            young nephew is missing a tooth, needs foot surgery in order to work, and my brother, his dad has NO insurance, has not had any insurance for YEARS.  Exception was when he tried to insure his son by responding to one of those ads that promised exceptionally low premiums, got money from him, then folded.

            Sucks that the Repubs scream for competition but, as your link points out, they with their Blue Dog friends, insure that it does not really happen. Disgusting.

            However, we must not let that freeze us up and keep us for getting change now.

          •  Plus for god's sake (1+ / 0-)
            Recommended by:
            flitedocnm

            The public option has always been structured as self-supporting.  After initial startup health, it must pay its own way through premiums.  Once again, a point clearly made and routinely ignored.

          •  2013???? So the next Republican president can ` (1+ / 0-)
            Recommended by:
            flitedocnm

            kill it? If they pass it with that date it will be like not passing anything to most people. Dems will go down big time in 2010 and  2012.

      •  I think that we do more harm than good by (3+ / 0-)
        Recommended by:
        askew, divineorder, littlebird33

        constantly agonizing about the public option.  Obama explained why today.  We are making the public option the main topic of discussion throughout the media. This is where the republicans get their "socialized medicine - government takeover of health care talking points".  

        The things that people like about the bill are not being talked about at all.  The left, right and the media has made it all about the public option.

        You are drowning out the discussion of the rest of the bill and are scaring to death the very people that you want support from.  The more they hear Public option - the more they think government take over.  Your very passion and anger over it confirms to them that it is government take over.

        Man is equally incapable of seeing the nothingness from which he emerges and the infinity in which he is engulfed. Blaise Pascal

        by Kitty on Thu Aug 20, 2009 at 01:08:28 PM PDT

        [ Parent ]

        •  Well, them's the breaks. (8+ / 0-)

          The public option is absolutely essential to reform, and it's the main point of contention, so naturally we're not talking about the rest of it.

          Not to say we're not fucking it up in a big way. I swear to God, if ever there's been a time when Dem leaders are batshit nuts if they don't hire or at least listen to George Lakoff …

          “If I can't dance to it, it's not my revolution.” — Emma Goldman

          by Jyrinx on Thu Aug 20, 2009 at 01:11:10 PM PDT

          [ Parent ]

        •  By Getting What We Need? (6+ / 0-)

          Insisting on the most essential part, that is under the most threat, from people without legitimate power, who lie to protect what they've stolen and destroyed, is "more harm than good"? How do you get what you need from people who won't give it to you?

          "When the going gets weird, the weird turn pro." - HST

          by DocGonzo on Thu Aug 20, 2009 at 01:17:13 PM PDT

          [ Parent ]

        •  Look. It's people close to (4+ / 0-)

          Obama who have been coming up with these public option trial balloons. We had Rahm last month, Durbin earlier this month and Sebelius recently. If they don't want public option to be a topic of debate then they shouldn't be baiting the left on this.

        •  Kitty, please name 1-2 other parts you see as (1+ / 0-)
          Recommended by:
          We Shall Overcome

          most important to include in talks with others about the Obama Plan.  Thanks.

          •  Here you go (5+ / 0-)

            A major expansion of Medicaid coverage—fully federally funded—for millions of low-income


            working families who currently fall through the cracks

            A regulated marketplace that clamps down on insurance company abuses so people can


            no longer be denied coverage

            Requirements that insurance companies spend more of the premium dollars they collect


            on patient care

            Sliding-scale subsidies so middle-class, working families can afford the coverage they need


            to keep their families healthy

            Limits on out-of-pocket spending, giving Americans real health security and peace of mind

            Much-needed relief for small businesses so they can afford to offer coverage to their


            employees

            Improvements to Medicare that will help seniors and people with disabilities afford their


            drugs and their cost-sharing

            Better access to coverage for uninsured children so they can get the care they need Long overdue steps to modernize the system, improve the quality of care provided, and curb unnecessary spending so our American health care system delivers the best possible care

            Man is equally incapable of seeing the nothingness from which he emerges and the infinity in which he is engulfed. Blaise Pascal

            by Kitty on Thu Aug 20, 2009 at 01:24:12 PM PDT

            [ Parent ]

            •  sorry the html got messes up (2+ / 0-)
              Recommended by:
              divineorder, littlebird33

              this was from a previous post of mine here:

              http://www.dailykos.com/...

                  A major expansion of Medicaid coverage—fully federally funded—for millions of low-income
                 working families who currently fall through the cracks

                 A regulated marketplace that clamps down on insurance company abuses so people can
                 no longer be denied coverage

                 Requirements that insurance companies spend more of the premium dollars they collect
                 on patient care

                 Sliding-scale subsidies so middle-class, working families can afford the coverage they need
                 to keep their families healthy

                 Limits on out-of-pocket spending, giving Americans real health security and peace of mind

                 Much-needed relief for small businesses so they can afford to offer coverage to their
                 employees

                 Improvements to Medicare that will help seniors and people with disabilities afford their
                 drugs and their cost-sharing

                 Better access to coverage for uninsured children so they can get the care they need Long overdue steps to modernize the system, improve the quality of care provided, and curb unnecessary spending so our American health care

              system delivers the best possible care

              Man is equally incapable of seeing the nothingness from which he emerges and the infinity in which he is engulfed. Blaise Pascal

              by Kitty on Thu Aug 20, 2009 at 01:25:46 PM PDT

              [ Parent ]

            •  Those are all great, but try communicating that (1+ / 0-)
              Recommended by:
              divineorder

              to people - our media is not up to that challenge, unfortunately. And while we try to do that, the right is scaring and confusing people with Death Panels that we also have to dispel. So, we the debate becomes public option - do you want the choice to have one or not ... i think people want that choice.

        •  I have tried to (10+ / 0-)

          explain to people here that all the insurance reforms in the bill, such as eliminating pre-existing conditions clauses, are only being put in there because the insurance industry is being granted a mandate for all Americans to buy insurance. No one seems to be listening. Can I say it again? All these reforms in the bill, the good things in the bill that you talk about, are only in there because the bill also creates a mandate for coverage.

          A mandate, without a public option, is a subsidy for insurance industry profit. It's giving them 50 million new customers. That is why people are talking about the public option, because in light of the rest of the bill and what it does, the public option is actually essential.

        •  True, but it's too late, public option is out (0+ / 0-)

          there. What else is there for the media to spit out, it's what they do, boil it down to some B.S. point they can build a story on ... trying to explain the nuances of health care reform is not the media's thing.

          The choice of a public option along with private plans in an exchange ... this was Obama's point. Yes, a sliver, but an important sliver and one many, many people expect going back to his campaign rhetoric.

        •  The main opposition is from people on (0+ / 0-)

          mdicare. They are scared of the other parts of the bill. They think cost cutting = benefits cutting.

          Surgeons, cardiologists and radiologist are the primary vociferous objectors. Not all but a large proportion. People are profit centers to them.

          We are in a time where it is risky NOT to change. Barack Obama 7-30-08

          by samddobermann on Thu Aug 20, 2009 at 04:07:50 PM PDT

          [ Parent ]

    •  That's really interesting. (7+ / 0-)

      Public option obviously implies choice but if you don't put the word choice in the research you get a very misleading (lower) result. This is really good news I think, and explains a lot.

      "It's like these guys take pride in being ignorant." Barack Obama August 5, 2008

      by thefretgenie on Thu Aug 20, 2009 at 12:56:27 PM PDT

      [ Parent ]

    •  I don't buy it (0+ / 0-)

      As I noted in your diary, the wording on that question is screwy, leading to results that don't polarize at all by party, in contrast to every other substantive question in the survey.

      I hated Lou Dobbs before it was cool.

      by cardinal on Thu Aug 20, 2009 at 12:57:58 PM PDT

      [ Parent ]

    •  Support for healthcare reform collapses without (3+ / 0-)
      Recommended by:
      slinkerwink, irmaly, badger

      the public option; and yet, the public can't have it because the Democrats, who have the WH, Congress, and 60 votes in the Senate, are  blocking it.   Somebody explain to me again why Democrats are the party of working people?  What a joke lie.

      "YES WE CAN" doesn't mean he is going to. ~~Daily Show

      by dkmich on Thu Aug 20, 2009 at 01:05:47 PM PDT

      [ Parent ]

    •  One problem (0+ / 0-)

      The public option isn't medicare-like. It's a co-op run by the government.

      •  Wrong. Coop implies that the organization/ (0+ / 0-)

        state own the facilities and employ the professionals including Doctors. Kinda like the VA.

        We are in a time where it is risky NOT to change. Barack Obama 7-30-08

        by samddobermann on Thu Aug 20, 2009 at 04:16:43 PM PDT

        [ Parent ]

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