I — speaking only on behalf of myself — suggested one possible idea could be that instead of creating an entirely new government bureaucracy to administer a public option, Medicare could be offered as a choice to compete alongside private insurers for those Americans eligible to enter the national health insurance exchange, but at a reimbursement rate much greater than current Medicare rates.
The last sentence is key: reimbursing providers who treat the new enrollees at market rates satisfies the provider community and conservative politicians from rural states who argue that their hospitals would close if they were reimbursed at Medicare rates. This scheme preserves the integrity of a single national program and takes advantage of Medicare’s administrative efficiencies to lower costs and spearhead delivery reforms. Still, Ross’ solution will likely save less money than a robust public option that uses Medicare-like rates and leverage.
After cutting a deal with Energy and Commerce Committee Chairman Henry Waxman to increase the public option’s reimbursement rates in August, Ross announced last month that “he will vote against health care legislation if it includes a public option.” “I have been skeptical about the public health insurance option from the beginning and used August to get feedback from you, my constituents,” Ross wrote in a newsletter to constituents. “An overwhelming number of you oppose a government-run health insurance option and it is your feedback that has led me to oppose the public option as well.”
M.C.L comment:
I wished those on the left remember the problem in the public option debate is the conservative fringe in the Democratic majority in the senate, we gotta make it clear the majority of elected Democrats support or at least won't help the Republicans filibuster a health care bill with the public option. I wished these Blue dogs just admit why they're standing against the public option despite huge public support because. their overlords in the health care industry is threatening to cut their allowance if a bill with a strong public option is passed or B. they're scared of having ads from wing nut groups like Club for Growth being run against them so they're thinking about their own skin to save at the expense of us and the people they claimed to represent.
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