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Posted Monday, October 26, 2009 6:15 PM

Reid's Support For Public Option Matters, A Lot

Jonathan Alter

I agree with Katie that Harry Reid's announcement that he will bring a health-care reform bill with a public option to the Senate floor "is a win for progressives."

This is a very big deal, and I say that as someone who last summer told people to pipe down about the public option. At that time, I was worried that pressure for a public option would derail health-care reform. Because that's no longer a problem, now is the time to focus on the importance of choice and competition in keeping costs down.

Harry Reid's decision to opt for "opt-out" is significant, even potentially historic if opt-out is included in the final bill.

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Katie says, "It's unclear why Reid decided on this model, over an opt-in model or a trigger." Here's why he did that: The problem with the weaker alternative—a "trigger"—is that it's more mañana-ism. Any bill that puts off something until it is triggered risks being emasculated later on. If a trigger were enacted, the health-insurance lobby would get to work immediately trying to weaken the terms under which the trigger was pulled. With the country's attention elsewhere, they would likely succeed. Opt-out requires states to say they have no interest in a public option. When it starts working in states that like it, few states will be able to opt out, even conservative ones.

Reid's move is also good news for the Democratic Party. The worst thing that could happen to Democrats would be for Obama to sign a bill that results in higher premiums for people forced to buy insurance. The best antidote to that is a public option, which will, in theory at least, hold premiums down. The majority leader just helped his party navigate past an iceberg.

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Member Comments

Posted By: Andy (October 27, 2009 at 5:13 AM)

health care is the main point that people care, but who cares ?


Posted By: parodyandson (October 27, 2009 at 12:07 AM)

HEALTHCARE REFORM: THE ART OF COMPROMISE MEETS THE MARTIAL ARTS

The battle moves onto the next level. See “Healthcare Fighting (Kung Fu Mix)” at http://www.youtube.com/watch?v=8nc1VwJOb9Y


Posted By: Davole (October 26, 2009 at 8:01 PM)

If democrats were sincerely interested in reducing healthcare insurance costs, and making them more affordable for all Americans, they would ensure that citizens could shop across state lines for their chosen personal policies. That national option would increase competition, and thereby lower costs.

But the whole healthcare issue is just a Trojan horse to stealthily expand government control over one sixth of the economy, and that unwarranted intrusion into the economy would further enslave the population to the whims of the government.

Harry Reid and Nancy Pelosi resort to performing sloppy gymnastic somersaults in a pathetic attempt to flaunt their excrement sandwich as an exquisite gourmet’s delight.

But in reality, their deceptive government power-grab scheme is still an excrement sandwich, and it sure stinks!