A Hatchet Job So Bad It's Good
By Paul Krugman
October 15, 2009 | New York Times
[....]
As I said, the individual mandate probably should be stronger than it is in the Finance Committee's bill. But there's a reason the mandate was weakened: fear that too many people would balk at the cost of insurance, even with the subsidies provided to lower-income individuals and families. So why not address that cost?
Aside from making the subsidies larger, which they should be, there are at least two changes to the legislation that would help limit costs. First, health exchanges — special, regulated markets in which individuals and small businesses can buy insurance — can be made stronger, in effect giving small buyers a better bargaining position. Second, the public option — missing from the Finance Committee's bill — can be brought back in, giving private insurers some real competition.
The insurance industry won't like these changes, but that matters less than it did a week ago.
There's also another point, which House Speaker Nancy Pelosi has stressed. Part of the opposition to a strong individual mandate comes from the sense that Americans will be forced to buy policies from a greedy insurance industry. Giving people, literally, another option — the right to buy into a public plan instead — would defuse that opposition.
[Indeed, BaucusCare, if passed by Congress as is, would be a corporate socialist giveaway to the insurance industry by mandating that every American buy private health insurance or else pay a tax penalty. -J]
Even with stronger exchanges and a public option, health reform would probably increase, not reduce, insurance industry profits. But the insurers wanted it all. The good news is that by overreaching, they may have ensured that they won't get it.
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