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The Beltway War On Howard Dean And The Public Option Continues

Woe onto the Democrat unprepared to throw the public option under the bus. Ezra Klein ran his series of attacks on Dean and the public option. Ron Brownstein, no doubt a JournOLister, ripped Dean. And now Ed Kilgore compares Dean's opposition to an excise tax on the middle class (Yes Democrats, that's what a "mandate" is. Even their patron saint Max Baucus calls it that) IF a public option is not included in health care reform with Joe Lieberman's stance that a mandate is good but a public option is bad. Kilgore decided to misstate Howard Dean's position and Joe Lieberman's on health care reform:

Suzy Khimm's post at The Treatment about Howard Dean's latest remarks on health care reform strategy shows the perils of the obsession with the public option on both sides of the barricades. After a fiery demand that progressives refuse to relent on the public option, the good Doctor allowed as how if we can't get that, he'd be fine with legislation that just regulated health insurance abuses.

[MORE. . . ]

Ironically enough, Dean seems to be embracing the same fallback position as his old adversary Joe Lieberman, who's said regulate-only legislation is all he'd be willing to support if a public option is included in a comprehensive reform bill.

This is not true. Dean would of course support increasing Medicaid funding by making more less well off people eligible for Medicaid. And of course, even Ezra Klein concedes that Howard Dean proposed lowering the age for Medicare eligibility to 55. And Joe Lieberman has no objections whatsoever to mandates. But Kilgore and the Beltway have a different agenda - that is to convince you that health care reform must be good for the health insurance industry:

The problem, of course, is that absent an individual mandate to bring healthier people into the risk pool, or significant subsidies to lure them in, imposing a national system of community rating or guaranteed access to insurance on behalf of less robust Americans will likely boost private insurance premiums for everybody--not exactly an ideal outcome.

(Emphasis supplied.) Why these people need to be brought into the private insurance risk pool is not explained. Why these "healthier" people can not be brought into a PUBLIC insurance risk pool, thus lowering GOVERNMENT costs, is not explained.

Implicit in the analysis of Klein, Brownstein, Kilgore, Landrieux, and every Beltway type is the need for health care reform to be a Insurance Profits Protection Act.

Since Howard Dean does not accept that, he is their enemy. Since Howard Dean knows that in fact the health insurance industry is no friend to REAL health care reform, he must be attacked. Indeed, misstating what he says and thinks is now fair game. It is despicable.

And being enabled by all those good "progressives" in the"progressive" blogosphere who look the other way. Let the lionization of Max Baucus begin.

Speaking for me only

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  • Display: Sort:
    So far (none / 0) (#1)
    by Abdul Abulbul Amir on Mon Sep 21, 2009 at 09:45:52 AM EST

    So far the Bacus bill increases health care costs.  This is reform?  The frying pan may be hot but its better than the fire.

    Frying pan/fire...either way, you're cooked. (none / 0) (#7)
    by oldpro on Mon Sep 21, 2009 at 11:02:45 AM EST
    Evidently Khimm thinks mandates are (none / 0) (#2)
    by MO Blue on Mon Sep 21, 2009 at 09:53:43 AM EST
    the magical silver bullet that will keep premiums low. Insurance companies are fairy godmothers who will pass on any and all savings they realize to the consumers through lower premiums. They will do this voluntarily without any legislation on cost controls. We know this because they have been such good corporate citizens in the past.

    Obama could decide to let the Republicans completely write the legislation (close in the Baucus bill) and the Beltway types would justify the legislation and demonize anyone who pointed out the public was getting scr&wed.

    Howard Dean would actully drop the PO - If... (5.00 / 1) (#3)
    by SGITR on Mon Sep 21, 2009 at 10:09:30 AM EST
    Dean on MTP:

    There's two countries in Europe that have universal health care without--and it's entirely run by insurance companies. But they treat the insurance companies like regulated utilities. If the insurance companies would prefer to be treated like regulated utilities, we'd drop the public option in a heartbeat.

    Of course regulation is more unlikely than the PO passing but it would be a great answer to the problem. The best answer really for many reasons.

    And while we are at it we should also regulate the cost hospitals and labs can charge because they really are the cause of high health insurance costs. This entire HCR debate is centered around the wrong industry. It is not entirely the insurance companies that are at fault here. It is the prices that are charged by health care providers. Scale those back and insurance costs could come down.

    Parent

    There will never be an efficacious (5.00 / 4) (#4)
    by Big Tent Democrat on Mon Sep 21, 2009 at 10:10:44 AM EST
    regulatory regime of health insurance and that of course is why a piublic option is absolutely essential.

    Parent
    The public option (none / 0) (#5)
    by SGITR on Mon Sep 21, 2009 at 10:53:18 AM EST
    is not really the answer to the long term problem. The majority of health insurance premiums goes to the expensive for-profit provider networks. They are the primary reason that health insurance premiums keep going up. Even if the public option were to only pay a percentage of what the hospitals et al charge the annual cost of the PO is going to increase every year just like private insurance.

    Congress is just skimming the surface here. But the real problem will keep bubbling up year after year.

    Parent

    Primary Reason? (5.00 / 1) (#10)
    by waldenpond on Mon Sep 21, 2009 at 11:20:38 AM EST
    Primarily the fault of for-profit provider?  Non--profits 'make' money... the standard for non-profit status is based on the percentage of charity care they provide.  They can pay their staff multi-million dollars and re-do all offices every year.  Even though you might feel this is the fault of only one portion of the health care industry.... Fact: Insurers are putting more pressure on premiums as their profit margin increases each year at a higher rate than health care providers.  

    Parent
    Well if you think (none / 0) (#18)
    by SGITR on Mon Sep 21, 2009 at 12:33:43 PM EST
    that a public option that will be marginally less expensive than private insurance is going to halt the runaway inflation in health care and is the sole answer to that inflation then you are in for a rude awakening. Health insurance is just part of the problem but not the majority of the problem.

    I read here that there are US insurance companies offering less expensive policies for people who are willing to go out of country to less expensive providers for care. How can the insurance companies do that? The answer is because those out of country hospitals and providers charge less. So if an insurance company can sell a less expensive policy based on a less expensive provider network somewhere else then logic says that the reason they charge what they do here is because the providers charge more.

    It's really a simple business premise. If your costs are lower you can provide your product for less and still maintain profit margins.

    Parent

    Respectfully disagree (none / 0) (#6)
    by Big Tent Democrat on Mon Sep 21, 2009 at 10:55:34 AM EST
    Pretty clear why Obama didn't (none / 0) (#8)
    by oldpro on Mon Sep 21, 2009 at 11:08:44 AM EST
    put Dr. Dean in the cabinet...or even make him healthcare czar.

    So, how are the Deaniacs faring now?  Loyalties divided?

    Contrary to CW not all Deaniacs (5.00 / 3) (#9)
    by MO Blue on Mon Sep 21, 2009 at 11:16:28 AM EST
    were young. His proposals made a lot of sense then and now. No divided loyalties for me. Of course, my political loyalties only go as far as backing politicians who support my issues. My motto is no support for me equals no support for you

    Parent
    ??? Having a little trouble (none / 0) (#11)
    by oldpro on Mon Sep 21, 2009 at 11:21:03 AM EST
    following the bouncing ball this morning.  Ummm....what does 'young' have to do with anything?  Contrary to CW, not all Obamatons were/are young either.

    I like your motto.  Makes perfect sense.

    Parent

    Guess I was having trouble (none / 0) (#13)
    by MO Blue on Mon Sep 21, 2009 at 11:35:43 AM EST
    following the bouncing ball this morning.

    So, how are the Deaniacs faring now?  Loyalties divided?

    I interpreted that as implying that Deaniacs = Obama supporters.
    CW for both groups that their support came mainly from young people.


    Parent

    Most Deaniacs whom I know (none / 0) (#14)
    by oldpro on Mon Sep 21, 2009 at 11:45:41 AM EST
    were also early Obama supporters...and while they are younger than I am (73) they weren't what demographers would call young among the voting public.  'Young' voters make up less than 20%, as I recall...

    With Dean and Obama at opposite ends of the healthcare reform argument, I'm simply wondering how the Deaniacs are handling it.  It's a teachable moment, I'd say.

    Parent

    I guess my experience was different (5.00 / 1) (#17)
    by MO Blue on Mon Sep 21, 2009 at 11:58:50 AM EST
    Most of my middle aged friends (I'm normally the oldster) who were avid Obama supporters did not support Dean. They supported Kerry. He looked so much more presidential don't you know. The people on the web who were Deaniacs and  also early Obama supporters seemed among the younger group.

    I was the odd man out since I supported Dean based on policy issues and did not support Obama because of policy issues.

    Parent

    screw them ! (none / 0) (#12)
    by roger on Mon Sep 21, 2009 at 11:34:20 AM EST
    I'd rather pay the fine than be forced into some crappy subsidy for the insurance companies!

    BTD - the link to The Treatment (none / 0) (#15)
    by oldpro on Mon Sep 21, 2009 at 11:48:39 AM EST
    isn't working...

    Fixed (none / 0) (#16)
    by Big Tent Democrat on Mon Sep 21, 2009 at 11:52:37 AM EST
    Thanks.

    Parent
    Ummm...nope. Must be me. n/t (none / 0) (#19)
    by oldpro on Mon Sep 21, 2009 at 12:37:33 PM EST
    Was me (none / 0) (#20)
    by Big Tent Democrat on Mon Sep 21, 2009 at 12:57:55 PM EST
    NOW fixed.

    Parent
    Doesn't Brownstein have a blog (none / 0) (#21)
    by Militarytracy on Mon Sep 21, 2009 at 05:24:21 PM EST
    some place where I can explain to him what a disgusting smarmy elitist pig I think he is?  I haven't been able to find one. Or is he too cowardly to expose himself to the observable scrutiny of others?