Senate Majority Leader Harry Reid (D-Nev.) announced Monday that the bill he will bring to the Senate floor will include a public health insurance option that individual states could decline to participate in.
"The public option, with an opt-out, is the one that's fair," Reid said. He said his decision was supported by the White House and by Senate Finance Commitee Chairman Max Baucus (D-Mont.).
Don't believe me? I don't blame you. But unless it's the cruelest parody video in history, here's the proof:
This hoped-for but still somewhat unexpected turn of events creates an entirely different, MUCH more positive dynamic for health care reform than just last week, when the PO-less Finance bill was still passed with full Democratic panel support. Evidently they were promised that things would improve with the merged Finance-HELP bill, but given the way things have gone with promises and deals over the years, you could forgive anyone for skepticism.
But now, assuming the House is able to follow through on its version, that is even stronger than the Senate bill, the likelihood that some form a of a real, nationally-based public option will be in the final legislation is now near 100%--and anyone who has been following this story during 2009 has to understand just how remarkable it is to be able to make that statement. The PO was dead a number of times, and it clearly did not have strong backing from the White House or the "sensible" members of the Senate. They had to be pushed to where we are now, and frankly, I'm not sure anyone can even remember the last time a legislative process was significantly pushed to the left.
One thing to note is that the version in the Senate bill will indeed include a state-based "opt-out;" that is, under some as-yet undetermined process a state could decide not to allow its residents to avail themselves of the public option in any health exchange. But as many have said, Medicaid is opt-out, too. So was the stimulus bill, and so are highway funds. The opt-out record for all three? Zero, despite much blustering and threatening otherwise.
No statement has hit my email box yet from Senator Wyden on this momentous accomplishment, but that's not necessarily meaningful. If and when something comes on, I'll append it. But Senator Merkley--who has been a very strong supporter of the PO, and helped put together the HELP Committee version of the bill that will be supplying much of the terms for the Senate configuration of it--is on the ball:
It has been clear from the beginning of this debate that a public option is absolutely necessary to provide consumers with more choice, hold insurance companies accountable and keep costs down.
Senator Reid made the right decision to include this critical component in the merged legislation. States may choose to opt-out based on their individual needs and the input of their citizens, but this provision will ensure that most Americans will have the choice between private insurance or a public plan that operates on a level playing field. This is a reasonable compromise to this issue and takes us one step closer to action by the full Senate to finally pass health care reform and fix our broken system.
Oregon Democrat Ron Wyden isn't saying how he'll vote when the Finance Committee takes up Chairman Max Baucus's 10-year, $829-billion plan next Tuesday.
"I am not going to characterize where I am (on the bill) in any way," Wyden said Friday as he headed to the airport for a trip back to his state.
"I'm going to be doing everything I can to make sure hardworking Americans aren't forced to buy unaffordable coverage from monopolies," he added, making his discomfort clear.
Narrated by former health insurance executive Wendell Potter, the spot accuses private insurance of trying to "kill health reform" and whacks the committee for not including a public option to keep the industry honest.
"Take it from me," Potter says, "the Senate Finance bill is a dream come true of the health insurance industry. If there is no public option insurance companies aren't going to change. The choice of a public health insurance option is the only way to keep insurance companies honest."
"I want to continue to work with colleagues on both sides of the aisle," he said in remarks before the Finance committee, emphasizing that he did not want to do anything to promote groups trying to halt healthcare reform this year.
"My vote today to advance this bill forward is a judgement that there is enough goodwill in this committee and this Congress to move this bill forward," Wyden told colleagues.
Wyden asserted that Baucus and other Democratic leaders had vowed to work with him to ameliorate concerns about the bill as Senate Majority Leader Harry Reid (D-Nev.) works to meld the Finance proposal with the one in the Senate Health, Education, Labor and Pensions (HELP) Committee.
"I am convinced every one of those colleagues is anxious to get real health reform, while we have spirited debates about how to get that done," the Oregon Democrat said.
Always the optimist, the cute little dreamer believing that working with people like Chuck Grassley and Joe Lieberman is an exercise in good faith.
Today, millions of Americans are one step closer to the healthcare reform they need. We disagree with Senator Wyden on some of the principles of healthcare reform, but we stand with him and many of his colleagues today in saying that, while the Senate Finance Committee bill is not perfect, it is important to ensure that the process does not stop. There is still time to make changes, and we hope changes will be made; we hope that all Oregonians will be ensured access to affordable healthcare, that a public option will be available and that employers who support their workers by providing health insurance will be rewarded, not discouraged. As the Senate and House bills move to the floor we are counting on Oregon's delegation to continue to stand with middle class Oregonians and support the real reform we need, reform that, for the first time in a decade, is now within our reach.
I suppose a bit weirdly, I agree with both Potter/MoveOn, and OR-AFLCIO: it's a horrible, bogus, POS gift to the insurance industry, and if it's what largely ends up as the Senate version that crowds out a more robust House plan, we're all doomed and Democratic electeds will start feeling the pain next year. However, while I'm not as sanguine as Wyden is about all the good-feelin's within the caucus and across the aisle for health care, it's true that the SFC bill is simply batter waiting to be made into cake. There WILL be modifications; I'm just scared about what they will be. The truth is that a solid bill was never going to come out of that committee, and in fact Baucus and Co have been a tremendous hindrance all summer. At least this way he's gotten his moment in the sun, and while he'll definitely have a big seat at the table, there will be several other players working with/against Baucus to create something that might actually help American citizens instead of Humana shareholders.
So the vote today was almost entirely meaningless, for perhaps everyone except Snowe. She now has to endure what will surely amount to furious pressure from her own caucus, who has reportedly threatened to keep coveted chair assignments away from her for this vote. Equally furious effort will come from those still obsessing over the mercurial value of "bipartisanship," hoping to keep Snowe in the Yea column when it comes time for a floor vote. Again, what's it worth? Not a lot, but that's where we are. Onward! And screw it, let's just put the MoveOn ad here at the bottom, above the fold:
No, it's not a typo. As the health care debate quickly becomes a core schism between tweaking the current private insurance scheme and establishing a robust public option to compete against it, not only are the President and Oregon's senior Senator currently holding opposite ground on the matter, both are beginning to harden their rhetoric and dig in their heels. What's even more surprising is that Senator Wyden is slowly emerging as the standard bearer of REPUBLICAN opposition to a public option, gathering supporters for (or allowing them to hide behind) his significant but ultimately nontransformational proposal for reform.
Think I'm making that up? Read what The Hill wrote three weeks ago on the subject, in an article I missed at the time but which retroactively adds a lot of weight to the current analysis:
And while Democratic Sens. Edward Kennedy (Mass.) and Max Baucus (Mont.) may chair the committees charged with shepherding the bill through the Senate, Wyden, a 6-foot-4 former college basketball player, has his own advantage: a standing invitation to play hoops with the president at the White House, which may come in handy when hashing out the final details behind the scenes.
For Wyden, the key to passing lasting healthcare reform is finding a legislative solution that can win at least 70 votes in the Senate — and he’s not shy about letting Democrats know that means dropping thoughts of a government-run public plan for the entire nation.
OK, let's back up a moment and establish the fault lines in the discussion, below the fold... {come on down!}
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