I.

'Single-Payer' Supporters Challenge Democrats

By Dan Eggen
Washington Post Staff Writer
Saturday, June 6, 2009

http://www.washingtonpost.com/wp-dyn/content/article/2009/06/05/AR2009060503518.html?wprss=rss_politics

When President Obama convened a town-hall meeting in Rio Rancho, 
N.M., last month, he wanted to talk about credit card reform. But 
many in the crowd had a different agenda.

"So many people go bankrupt using their credit cards to pay for 
health care," the first questioner said to applause. "Why have they 
taken single-payer off the plate?"
The "single-payer" activists had struck again. As Obama and 
congressional Democrats work to hammer out landmark health-care 
legislation, they face increasingly noisy protests from those on the 
left who complain that a national program like those in Europe has 
been excluded from the debate.


II.


<http://www.bradblog.com/?p=7186>

<http://www.bradblog.com/?p=7186>Single-Payer and the 'Democracy Deficit'
Or, 'Why corporate control of the media may be hazardous to your health'...
-- Guest Editorial by Ernest A. Canning
FULL STORY: <http://www.bradblog.com/?p=7186>http://www.bradblog.com/?p=7186



III.


http://tpmcafe.talkingpointsmemo.com/talk/blogs/robert_reich/2009/06/the-public-option-smokescreens.php?ref=fpblg

How Pharma and Insurance Intend to Kill the Public Option, And What 
Obama and the Rest of Us Must Do

June 5, 2009, 10:19PM

I've poked around Washington today, talking with friends on the Hill 
who confirm the worst: Big Pharma and Big Insurance are gaining 
ground in their campaign to kill the public option in the emerging 
health care bill.

You know why, of course. They don't want a public option that would 
compete with private insurers and use its bargaining power to 
negotiate better rates with drug companies. They argue that would be 
unfair. Unfair? Unfair to give more people better health care at 
lower cost? To Pharma and Insurance, "unfair" is anything that 
undermines their profits.

So they're pulling out all the stops -- pushing Democrats and a 
handful of so-called "moderate" Republicans who say they're in favor 
of a public option to support legislation that would include it in 
name only. One of their proposals is to break up the public option 
into small pieces under multiple regional third-party administrators 
that would have little or no bargaining leverage. A second is to give 
the public option to the states where Big Pharma and Big Insurance 
can easily buy off legislators and officials, as they've been doing 
for years. A third is bind the public plan to the same rules private 
insurers have already wangled, thereby making it impossible for the 
public plan to put competitive pressure on the insurers.

Max Baucus, Chair of Senate Finance (now exactly why does the Senate 
Finance Committee have so much say over health care?) hasn't shown 
his cards but staffers tell me he's more than happy to sign on to any 
one of these. But Baucus is waiting for more support from his 
colleagues, and none of the three proposals has emerged as the 
leading candidate for those who want to kill the public option 
without showing they're killing it. Meanwhile, Ted Kennedy and his 
staff are still pushing for a full public option, but with Kennedy 
ailing, he might not be able to round up the votes. (Kennedy's health 
committee released a draft of a bill today, which contains the full 
public option.)

Enter Olympia Snowe. Her move is important, not because she's 
Republican (the Senate needs only 51 votes to pass this) but because 
she's well-respected and considered non-partisan, and therefore 
offers some cover to Democrats who may need it. Last night Snowe 
hosted a private meeting between members and staffers about a new 
proposal Pharma and Insurance are floating, and apparently she's 
already gained the tentative support of several Democrats (including 
Ron Wyden and Thomas Carper). Under Snowe's proposal, the public 
option would kick in years from now, but it would be triggered only 
if insurance companies fail to bring down healthcare costs and expand 
coverage in he meantime.

What's the catch? First, these conditions are likely to be achieved 
by other pieces of the emerging legislation; for example, 
computerized records will bring down costs a tad, and a mandate 
requiring everyone to have coverage will automatically expand 
coverage. If it ever comes to it, Pharma and Insurance can argue that 
their mere participation fulfills their part of the bargain, so no 
public option will need to be triggered. Second, as Pharma and 
Insurance well know, "years from now" in legislative terms means 
never. There will never be a better time than now to enact a public 
option. If it's not included, in a few years the public's attention 
will be elsewhere.

Much the same dynamic is occurring in the House. Two members who had 
originally supported single payer told me that Pharma and Insurance 
have launched the same strategy there, and many House members are 
looking to see what happens in the Senate. Snowe's "trigger" is 
already buzzing among members.

All this will be decided within days or weeks. And once those who 
want to kill the public option without their fingerprints on the 
murder weapon begin to agree on a proposal -- Snowe's "trigger" or 
any other -- the public option will be very hard to revive. The White 
House must now insist on a genuine public option. And you, dear 
reader, must insist as well.

This is it, folks. The concrete is being mixed and about to be 
poured. And after it's poured and hardens, universal health care will 
be with us for years to come in whatever form it now takes. Let your 
representative and senators know you want a public option without 
conditions or triggers -- one that gives the public insurer 
bargaining leverage over drug companies, and pushes insurers to do 
what they've promised to do. Don't wait until the concrete hardens 
and we've lost this battle.

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