AN editorial that makes sense and is honest, recognizing the potential downfalls of the plan, and recognizing we know little about it at this point. (as always, read the full editorial)
The Non-Public Option...
We won’t know if this compromise does that until the Congressional Budget Office has evaluated it. But we admire the senators’ desire to try to move reform legislation forward.
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As currently embodied in the Senate bill, the public plan would be sold only on new insurance exchanges that would be open just to people who buy their own insurance policies and to certain small businesses. And instead of imposing rates based on Medicare’s relative low reimbursements, it would have to negotiate how much to pay health care providers (just as private plans do).
The C.B.O. believes the public plan’s premiums would be higher than the average private plan’s.We still believe that a weak public option is better than none. Here are the details, as of now, of the possible alternative:
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Whether people would find Medicare attractive at this price is not clear. Expanding Medicare to cover even a few million people strikes us as promising. Medicare, which pays low rates to providers, might actually offer stiffer competition to private plans than the current weak version of the public option in the Senate bill.
REGULATED NONPROFIT INSURANCE For people below age 55 who are not enrolled in group coverage, the insurance industry would have to create an array of nonprofit insurance plans to compete with for-profit plans on the exchanges in every state. (If industry fails to do this, the government would create them.) The plans would be approved and supervised by the government’s Office of Personnel Management, which administers the health insurance plans offered to members of Congress and federal employees
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At this point, even the 10 Senate negotiators have not fully agreed to all elements of the deal. They have simply agreed to have the budget office evaluate it. Until that is in, it is impossible to know whether this nonpublic option is an acceptable alternative.