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View Diary: You Can't Say Reid & Obama Tried Everything For True HCR (135 comments)

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  •  The problem is that if you use reconciliation... (3+ / 0-)
    Recommended by:
    askew, Clem Yeobright, Norbrook

    ...that's it. You have to pass something that can pass through reconciliation (i.e., only budget-related things) that's going to be strong enough to make up for the fact that you're not going to be able to pass any regulations on the private insurance industry, since that's not budget-related at all. You can't ban rescission through reconciliation, you can't set up the exchange through reconciliation, you can't mandate <20% overhead for private insurance through reconciliation. Basically, going through reconciliation means you're screwing everyone on private insurance - and you're going to need to pass something strong enough to make up for that.</p>

    Which probably means you'd need a really strong public option - probably with an optional buy-in for every single American.

    Somehow, I don't think we have Harkin's 55 votes for that, particularly not in reconciliation where we'd lose one or two Senators (Byrd, Bayh) on process alone.

    Call Congress and demand 2 Senators, 1 VOTING Rep, and full home rule for DC citizens. Anything less is un-American.

    by mistersite on Mon Dec 28, 2009 at 07:08:45 AM PST

    [ Parent ]

    •  It's still up to the states even with OPM (0+ / 0-)

      in a lot of ways though it still depends on what bill we are going for.

      States can make up for it until then, but with no public option there is nothing to build on.

      My questions remain relevant too. Rescission is still base don "fraud" and conditional probability.

      states are broke and insurance commissioners will not have the resources to take on monopolies.

      Basically here is my problem with your analysis.

      Pro Life??? Conservatives want live babies so they can raise them to be dead soldiers!- George Carlin

      by priceman on Mon Dec 28, 2009 at 07:15:50 AM PST

      [ Parent ]

      •  Your problem with my analysis... (4+ / 0-)
        Recommended by:
        askew, Clem Yeobright, OIL GUY, Norbrook

        ...has absolutely nothing to do with my analysis. You didn't address my point at all, which was that if you do go with reconciliation, you're basically going to screw anyone who's using private insurance - and whatever public option you do pass through reconciliation has to be much, much stronger than anything the House or Senate got anywhere near passing in order to compensate. You'd probably need to allow everyone to buy into it - which, of course, is much more sweeping than the public option that ended up in the House bill nor out of the Five Families in the Senate.

        Do you think you have 55 votes for that? 50? 40? I don't think you do.

        Call Congress and demand 2 Senators, 1 VOTING Rep, and full home rule for DC citizens. Anything less is un-American.

        by mistersite on Mon Dec 28, 2009 at 07:21:18 AM PST

        [ Parent ]

        •  Wrong (0+ / 0-)

          I do agree that the public option was too weak and should fo been open to everyone, but even th chnace to bold on soehting would be worth passing the bill. Your fantasy of cost control and regulation with the many loophole in MLR and rescission that will continue is a flaw in your analysis.

          not to mention the only way the whole meme about "something to build on" is if there is a federal program like SS.

          I don't think many people understand these CBO predictions either. The CBO makes predictions going form year to year by current law, whihc is why their baseline predictions are wrong a lot of the time.

          Your false belief that these monopolies are going to be regulated is quite a problem. A public option can be amended in the future to Medicare +55 whihc the House capitulated on.

          This HCR cannot be significantly built on and our GDP will not significantly go down as far as health spending outcomes looking at our nation versus others.

          I do believe we have at least 50 votes.

          Pro Life??? Conservatives want live babies so they can raise them to be dead soldiers!- George Carlin

          by priceman on Mon Dec 28, 2009 at 07:40:01 AM PST

          [ Parent ]

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