The Public Option That Isn't Public At All
As I predicted some time ago, the interminable smoke and mirrors game going on in Congress will most likely end with the adoption a "public option" that isn't public at all. In fact, it resembles the plan first proposed by the Heritage Foundation, premier architects of conservative policy, back in the 1980s under Reagan. Then, as now, the scheme essentially imitates the Federal Employees Health Benefits program, which gives people a choice of various private insurance company plans, sanctioned by an independent authorizing board. There is nothing really public about this program. In fact, it keeps access to health care firmly within the grip of the private insurance industry. And it isn't cheap either: Some federal employees have opted out because they can't afford their share of the costs.
This is the Democrats' idea of a "compromise"--not with the Republicans, but with the so-called moderates within their own party. A group of ten Democratic senators (ten liberal, ten not) huddled over the weekend to work out plan that could get through the Senate, and President Obama paid a "rare Sunday trip" to Capitol Hill to drum up party unity on the issue. What came out of all this is a public option so weak that it seems more like a last-ditch piece of political face-saving than a genuine effort to improve access to health care. Here is how the Washington Post on Tuesday described the deal:
Sen. Ben Nelson, D-Neb., said the idea is on the table as part of an emerging compromise under which liberals would back away from their demand for a new government health insurance plan to compete with private carriers. Instead of a so-called public plan, the compromise envisions private insurers operating under the auspices of the government agency that now manages the federal employee health plan--the same one that covers members of Congress.