Talks have been going on since last fall, many of them behind closed doors. Some of those who speak out for progressives the most loudly are not included.
Many of those included are pushing not for real change, but for a mandate that everyone must buy health insurance. Insurance companies prefer there not be a public option.
Health Care Industry in Talks to Shape Policy WASHINGTON — Since last fall, many of the leading figures in the nation’s long-running health care debate have been meeting secretly in a Senate hearing room. Now, with the blessing of the Senate’s leading proponent of universal health insurance, Edward M. Kennedy, they appear to be inching toward a consensus that could reshape the debate.
Many of the parties, from big insurance companies to lobbyists for consumers, doctors, hospitals and pharmaceutical companies, are embracing the idea that comprehensive health care legislation should include a requirement that every American carry insurance. While not all industry groups are in complete agreement, there is enough of a consensus, according to people who have attended the meetings, that they have begun to tackle the next steps: how to enforce the requirement for everyone to have health insurance; how to make insurance affordable to the uninsured; and whether to require employers to help buy coverage for their employees.
The talks, which are taking place behind closed doors, are unusual. Lobbyists for a wide range of interest groups — some of which were involved in defeating national health legislation in 1993-4 — are meeting with the staff of Mr. Kennedy, Democrat of Massachusetts, in a search for common ground.
They are discussing a penalty for those who don't purchase it.
The ideas discussed include a proposal to penalize people who fail to comply with the “individual obligation” to have insurance.
“There seems to be a sense of the room that some form of tax penalty is an effective means to enforce such an obligation, though only on those for whom affordable coverage is available,” said the memorandum, prepared by David C. Bowen, a neurobiologist who is director of the health staff at the Senate Committee on Health, Education, Labor and Pensions.
That is not real change. Not at all. That is not what was in Obama's plan during the campaign.
Here are the groups who are attending the closed door conferences.
The 20 people who regularly attend the meetings on Capitol Hill include lobbyists for AARP, Aetna, the A.F.L.-C.I.O., the American Cancer Society, the American Medical Association, America’s Health Insurance Plans, the Business Roundtable, Easter Seals, the National Federation of Independent Business, the Pharmaceutical Research and Manufacturers of America, and the United States Chamber of Commerce.
The Senate gang of nine is also meeting, and I would not call many of them likely to have progressive ideas about health care.
Health care hinges on Senate insidersThe Board includes Democratic and Republican leaders of the key committees of finance, health and budget. And with Obama leaving the job up to Congress — and empowering Baucus and Health Committee Chairman Edward M. Kennedy (D-Mass.) as his go-to guys — the prospects for passing health care reform this year rest, in large part, with this group.
..."The senators in the room include Baucus, Grassley, Kennedy, Hatch and Sens. John D. Rockefeller IV (D-W.Va.), Michael B. Enzi (R-Wyo.), Chris Dodd (D-Conn.), Kent Conrad (D-N.D.) and Judd Gregg (R-N.H.). Senior staff to Majority Leader Harry Reid (D-Nev.) and Minority Leader Mitch McConnell (R-Ky.) monitor the talks."
One of the groups meeting in Kennedy's office is AHIP, and they oppose any kind of public option.
AHIP opposes public optionAHIP Explains Its Opposition To The Public Plan
America’s Health Insurance Plans (AHIP) — the insurance industry’s lobbying arm — is hosting a health care policy forum in Washington D.C. This is the second of a series of posts from inside the conference.
When ThinkProgress asked AHIP spokesperson Robert Zirkelbach about the lobby’s opposition to a public plan, Zirkelbach explained that the insurance lobby was concerned the the “government-run program” (as he called it) would undermine health care providers, employers, and the “sustainability” of the entire health care system”
It would hurt their profits, bottom line.
In spite of the secrecy about the planning, most Americans support a public option.
73 Percent: Want Americans To Have A Choice Of Private Or Public Health CoverageMost progressives — including President Obama — argue that allowing a new public plan to compete with private insurers would increase choice, promote effective competition, bring down health care costs and create incentives for effective performance. (Jacob Hacker has much more here).
Well, a new poll released today by Lake Research found that most Americans agree with this argument. “A whopping 73% of voters want everyone to have a choice of private health insurance or a public health insurance plan while only 15% want everyone to have private insurance.”
Republicans and the insurance companies are part of that stubborn 15%. They argue that competition would force private insurers out of business and lead to a complete government take-over of health care. But as Howard Dean explained in a recent interview with ThinkProgress, giving Americans a choice between a public and a private plan is the only way to achieve real health care reform. Watch itThe one speaking out the most firmly on this public option has not invited to those meetings.
From the Wonk Room:
Howard Dean: Real Health Reform ‘Rises And Falls On Whether The Public Is Allowed To Choose Medicare’Today, during an appearance on MSNBC’s Hardball, former Gov. Howard Dean (D-VT) said that a public insurance option is essential to any health reform effort:
"If Barack Obama’s bill gets changed to exclude the public entities, it is not health insurance reform…it rises and falls on whether the public is allowed to choose Medicare if they’re under 65 or not. If they are allowed to choose Medicare as an option, this bill will be real health care reform. If they’re not, we will be back fighting about it for another 20 years before somebody tries again."