Sen. Jay Rockefeller (D-WV) has introduced his public option amendment before the Senate Finance Committee. In making the pitch to the panel's skeptics, he's noted that it will save the federal government about $50 billion over 10 years, and would be, as its name implies optional--i.e. it's not a "government takeover" of health care.
Late update: To the chagrin of chairman Max Baucus, Rockefeller is lambasting the insurance industry, and citing a number of ways other health care reform bills do a better job at reining in their excesses. He cited insurance industry whistleblower Wendell Potter, who said that, without a public option, health care reform legislation might as well be named the "Insurance Industry Profit Protection Act."
The House bill, Rockefeller noted, would place strict limits on the so-called medical-loss ratio (i.e. percentage of each premium dollar that can go to profits, administrative costs, and other non-health care related activities.)
Late, late update: It's worth mentioning that you can follow the hearing at this link.
Late late late update: For a few moments there, Rockefeller was refusing to answer a simple question from Sen. Bill Nelson (D-FL). How does his amendment set payments to providers? It's written clear as day: For the first two years his public option would be tied to Medicare, and thereafter, would set similar rates. He ultimately did offer that answer, but it's unclear why he stalled. Maybe he needed a refresher?
Anyhow, Nelson's vote on this will be telling. He seemed to be trying to divine the difference between a plan that sets rates (Rockefeller's) and a plan that negotiates rates (Schumer's). Let's see what he does.
Festival of updates: Baucus is arguing that his co-op proposal would accomplish the same thing with respect to competition and accountability as a public option tied to Medicare. The CBO, and all other experts strongly disagree. But Rockefeller's playing it polite for now.
11:14 a.m.: Chuck Grassley (who would like you all to know he doesn't much care for President Obama) notes that many reformers would like the public option to be step one toward a single-payer system or something similar. While that's true, such a public option isn't really on offer anywhere in Congress, and most of the people who would indeed like the public option to be a slippery slope toward Canadian-style health care aren't members of the Senate.
11:21 a.m.: Chuck Schumer calls out Grassley for attacking the public option on the grounds that it's government run. So how does he explain his support for Medicare. Grassley fumbled that one a bit before reverting to the claim that the public option would put the country on a slippery slope to single payer. Sen. Bill Nelson (D-FL) took strong exception to this, and asked for some sources. Grassley's response? The very conservative Heritage Foundation and the insurance industry owned Lewin Group.
11:37 a.m.: Orrin Hatch has a peculiar, but common, argument against the public option: that it will be a huge public policy disaster that somehow becomes extremely popular and entrenched.
11:42 a.m.: Now Robert Menendez is speaking up, strongly in favor of the Rockefeller public option.
11:47 a.m.: A statement just in from Chuck Schumer, whose less-robust public option will be up for debate later today, makes the case for the "level playing field" plan: "After being set up by the government, the level playing field public option will have to stand on its own. No providers will be required to participate. And prices will be negotiated between the plan and providers. They will not be imposed. Although I support Senator Rockefeller's public plan amendment, which is priced off of Medicare - this is the key difference between our approaches. The level playing field option does not set prices." A preview of the argument to come.
11:55 a.m.: Conrad's up. He calls his co-op model a "public interest" model, despite the fact that the CBO says his co-op plan would be a big bust. He's also very mistakenly saying that the French health care system would be a bit like the Baucus bill with a non-profit option.
12:12 p.m.: Rockefeller seemed extremely displeased that Conrad tried to turn the debate into one about the merits of his co-op plan. Conrad sheepishly concluded his remarks
12:19 p.m.: Bingaman opposes Rockefeller's public option on the grounds that it's tied to Medicare for two years, though he supports 'other versions' (i.e. Schumer's)
12:26 p.m.: Schumer's up. He's the man behind the other public option amendment, though as I noted above, he says he supports Rockefeller's proposal, too.
12:32 p.m.: Schumer incorrectly asserts that the House's public option would be permanently tied to Medicare. Things are fluid over there, but the Ways & Means and Education & Labor committees passed a public option that would be temporarily tied to Medicare.
12:38 p.m.: Here's a key exchange between Schumer and Grassley from about an hour ago. Note Grassley--government program foe--calls Medicare part of the "social fabric of America."
12:45 p.m.: John Ensign (R-NV) attacks public option citing the insurance-company backed Lewin group and the insurance industry's professional association AHIP. He also repeats an earlier argument that if you don't count deaths from automobile accidents and gunshots, the United States actually has better health care outcomes than other countries. Not exactly a winning statistic, I don't think, and probably accident victims would like to think their health care system is primed to provide them life-saving care. But hey! Socialism!
12:54 p.m.: Jon Kyl (R-AZ) is up. He, like all Republicans, opposes the public option.
1:04 p.m.: Debbie Stabenow pushes back on the general conservative idea that government run programs are bad, and issues a spirited defense of the public option. Now they break for lunch, and so do I. Will resume with a fresh post at 1:45.
Editor's Note: The next TPMDC liveblog on the Senate Finance Committee debate is here.

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Moose49
September 29, 2009 10:32 AM
Yes, but what about insurance company profits? After all, that's what we elected Congress to care about.
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Mateo123
September 29, 2009 10:42 AM in reply to Moose49
Excellent point! How fair can it be when insurance companies have another 50,000,000 customers and, well, they may only get 25,000,000 of those customers to pay their super-high-premiums?
That's just not fair.
More seriously, I do think that a lot of this comes down to GM, the banks, the sense that government is actively involved in ways that were unthinkable two years ago. Should there be a public option. Abso-freaking-lutely.
Should we have bailed out massive auto and banking conglomerates? I'm not sure about this. Ford decided it wanted to market the Explorer. AIG decided it wanted to sell credit-default swaps. Those were bad business decisions.
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serafinapekkala
September 29, 2009 11:42 AM in reply to Mateo123
Just a note, Ford did not take any auto bailout money. They started
restructuring with a private $23B loan like 2 years ago. Take it out
on the Escalade and Tahoe, I guess...
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JohnAH
September 29, 2009 10:57 AM in reply to Moose49
You have to keep in mind that profits are only counted after all of the salaries and bonuses are paid to the executives; those are just "cost of doing business". So when the Insurance companies say they only have a 3.4% profit margin or something like that, they are hiding that they are paying hundreds of millions per year in excessive executive pay before a dime is counted as "profit". I wonder how many claims had to be denied to support a 25 million dollar salary for the CEO of United Health? We could start with the face that they deny 1/3 claims submitted.
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Obama1st
September 29, 2009 10:33 AM
Thanks Sen Rockefeller for your push on a robust public option!
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wvbiker
September 29, 2009 10:47 AM
Many of us in Red State West Virginia are very proud of Sen. Rockefeller.
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matyra
September 29, 2009 10:52 AM
Popcorn?
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Guildman
September 29, 2009 10:58 AM
I offer an alternative solution to wobbly-kneed conservatives: approve a public option, but allow a one-time referendum in each state, allowing that state -- and ALL of its citizens -- to opt out of the entire program, in perpetuity. No second chances for anybody.
If the south doesn't want cheaper insurance, fine, turn it down. Then watch as your population migrates to other parts of the nation that approved it.
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Steaming Pile
September 29, 2009 12:10 PM in reply to Guildman
Or require a supermajority to reinstate it once it has been rejected.
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rbeats
September 29, 2009 11:01 AM
Single Payer, what happened to it?
Ohh yeah, Rahm Emanuel.
That was just a crazy idea from the "fringe left" right Rahm?
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theWalrus
September 29, 2009 11:19 AM in reply to rbeats
From the 2003 AFL-CIO Civil, Human and Women's Right Conference:
"I happen to be a proponent of a single-payer, universal healthcare plan...that's what I'd like to see...but, as all of you know, we may not get there immediately because first - we gotta take back the White House and we gotta take back the Senate and we gotta take back the House.."
Ah, the good ole days when Obama was a "finge" lefty..! Looks like the Dems are going to have a very short-lived majority.
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VivaAmerica!
September 29, 2009 11:50 AM in reply to rbeats
How is Rahm responsible for the demise of single payer? An option Obama said he wasn't going to push PRIOR to getting elected.
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theWalrus
September 29, 2009 11:55 AM in reply to VivaAmerica!
All Presidents have their enablers. President Cheney had George Bush. President Emanuel has Obama.
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oleeb
September 29, 2009 1:06 PM in reply to VivaAmerica!
Obama also said he wasn't going to push for insurance mandates and that is the major feature of most of the shitty bills we're seeing out of Congress--even those with the best public options included. The mandates are an atrocious idea anyway you cut it and only enrich insurance companies at great public expense.
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willia451
September 29, 2009 11:06 AM
"Insurance Industry Profit Protection Act."
WOW!!! Awesome!!! And so true.
Let'em have it with both barrels, Jay R. FORCE everyone to choose a side. Its what a handful of corrupt, marginal, and weak Dem Senators have been begging to avoid for months. Voting on something that is.
Hopefully, the moment of truth has finally arrived and we'll get to see undeniably who's who. At least partially.
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Gator_fan
September 29, 2009 11:18 AM
At least this is all on record: it's a primer for the reporters as much as anyone else. Now, we know WHAT they're voting against and how it's a vote FOR the insurance industry and against the people.
The ordering of these amendments is telling and makes me think Sen. Snowe didn't want to defend a trigger for the insurance industry.
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Shrubbit
September 29, 2009 11:27 AM
Grassley: "Medicare is part of the social fabric of America ... government is not a competitor, it is a predator."
Huh?
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ohyeathatsright
September 29, 2009 11:37 AM
How about this one-liner Rocky: "What else is the insurance industry doing besides taxing for profit?"
It shocks me that people will pay a corporation more money on a monthly basis then they'll pay the government for virtually nothing in return. The "FED" story is telling.
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willia451
September 29, 2009 11:41 AM
Grassley going up against Schumer is like Barney Fife going up against Sir Isaac Newton. What an intellectual mismatch. I almost feel sorry for that poor fool Grassley (not really).
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Steaming Pile
September 29, 2009 12:12 PM in reply to willia451
Homer Simpson is more like it. Barney might have been full of himself and a bit high-strung, but I doubt he was particularly stupid.
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The Old Grouch
September 29, 2009 12:22 PM in reply to Steaming Pile
Hey! I enjoy watching Homer Simpson!
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brewmn61
September 29, 2009 2:16 PM in reply to willia451
And Schumer's not even all that bright, either.
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Libertine
September 29, 2009 11:41 AM
Keep giving us the updates Brian...thanks.
Go on Senator Rockefeller, do go on...
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JohnW1141
September 29, 2009 11:45 AM
I'm watching this live on C-SPAN, the Repugs complain a single payer won't give the public a choice, but they don't want to give the public the "choice" of a public option.
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JohnAH
September 29, 2009 11:57 AM in reply to JohnW1141
Unfortunately "logic" isn't necessary if your are Republican it's actually quite the opposite.
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ru4862
September 29, 2009 11:48 AM
Orrin Juice is using typical conservadick talking points.
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Walter Mitty
September 29, 2009 11:49 AM
It's telling that the Republicans are not arguing against a public opion, but rather that it will eventually lead to single player. They can't even argue against the PO, so they need to create a strawman, I wish the Dems wouldn't allow them to get away with it.
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ru4862
September 29, 2009 11:55 AM
Kent Concrad is talking live a true conservadem.
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pv2k
September 29, 2009 12:28 PM in reply to ru4862
Conrad's claim, about the hospitals in North Dakota going broke, is bogus. Because, he says, his state get the 2nd least reimbursement in Medicare. Well, being that North Dakota is like the 2nd or 3rd smallest in population, you could say that nears 100% equity and you can't be more fair than that.
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Shrubbit
September 29, 2009 12:06 PM
Hahaha.
Ensign: "Take out gun accidents and vehicle accidents and our health care is better than Europe."
Unreal.
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TBender
September 29, 2009 12:21 PM in reply to Shrubbit
Will be looking for Ensign's proposal to eliminate guns and vehicles.
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_jonny_5_
September 29, 2009 12:22 PM in reply to Shrubbit
I caught that too...
It's too bad that Repubs are unaware of irony
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CranialRectalLoopback
September 29, 2009 12:06 PM
Hey, Oral Hatch, you're a public policy disaster. Maybe it's your magic underwear.
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RectoNoVerso
September 29, 2009 12:07 PM
Leave The Health Insurance System Alone!
http://rectonoverso.wordpress.com/2009/09/29/leave-the-health-insurance-system-alone/
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Rich in NJ
September 29, 2009 12:14 PM
Pretty much everything that Hatch says turns out to be the opposite of reality.
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Mateo123
September 29, 2009 12:21 PM
When are Democrats going to get on Democrats? When is someone going to call out Conrad? How, seriously, can a cooperative in a small state compete with United Healthcare?
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marycat
September 29, 2009 12:27 PM
How can something be hugely popular and yet be a public policy disaster? I think he means a public policy disaster for the insurance industry. Jeez, who do these guys represent anyway. I guess we know the answer.
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_jonny_5_
September 29, 2009 12:36 PM in reply to marycat
I think he means a publicity disaster for the republican party...
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willia451
September 29, 2009 12:36 PM
The conserva dems are looking for any excuse to kill the PO amendments of Rockefeller and/or Schumer, without seeming to be the corrupt pro-insurance industry hacks that they are.
It wouldn't surprise me if 1/2 voted for Rockefeller's amendment but against Schumer's. And 1/2 voted for Schumer's amendment, but against Rockefeller's. Since they are all in bed together.
Effectively killing both. But they can still say they voted for a version of the PO.
It will be interesting to see if that is the route they take.
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neesy08
September 29, 2009 12:36 PM
Did anybody see Dylan's show this morning? He brought up the fact that the insrance indusry is protected by the Sherman anti-trust laws. That took me aback. I had heard of the Sherman anti-trust laws before: in civic class! Apparently only bbaseball teams and insurance companies are the only ones that hve use o this law.
He argued that you cannot have reform without addressing this issue, and so far nobody has. Everytime I think am up to par, something else is revealed I need to know. This is a very complicated issue
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Schmed
September 29, 2009 1:11 PM in reply to neesy08
One would think that the threat of losing the anti-trust exemption would be a useful tool for smacking the industry into line. However, it would appear to be a tool that no one in Congress knows how to use without blatently commiting Corporate heresy.
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soupson52
September 29, 2009 3:20 PM in reply to neesy08
I saw that show and he took my breathe away. Wow! He really stayed on that lobbyist. Refused to let him NOT answer the question of whether the lobbyist was willing to accept insurance co.'s removal from the anti trust legislation. Squirm?? Oh, gave new meaning to the term.
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Virginia
September 29, 2009 12:37 PM
I love the Republican argument that we should be against things that will be popular. They use the same argument against Social Security. The reason things are popular is generally because they are good things that people like. Why are Republicans against good things?
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_jonny_5_
September 29, 2009 12:51 PM
I love how Sen Ensign wants to promote healthy behaviors... How many STD's does that putz have?
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Libertine
September 29, 2009 1:00 PM in reply to _jonny_5_
What happens in Vegas (or DC?) stays in Vegas...
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nova voter
September 29, 2009 1:03 PM in reply to _jonny_5_
none, silly -- ensign paid a $25 co-pay to see his doctor, who prescribed him a course of antibiotics, for which he paid a $10 co-pay. cleared everything right up.
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Schmed
September 29, 2009 1:12 PM in reply to nova voter
Well, maybe mom and dad paid. He's still getting gifts from them for his friends too.
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_jonny_5_
September 29, 2009 1:42 PM in reply to Schmed
Well I'm sure the Senator paid for his own Appoinment and Meds. His parents just paid the Hush Money...
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nova voter
September 29, 2009 12:55 PM
brian, it's the afternoon, not the early morning. (a.m. vs. p.m.) :)
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pv2k
September 29, 2009 12:56 PM
Just take out some deaths and our medical system looks great! Right Sen. Ensign?
I feel much better now knowing that.
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LFC
September 29, 2009 1:06 PM
Let me get this straight. The Republicans say gov't run health insurance is the pits, and any new program will be run like the Post Office. Then they say they are scared to death of a gov't run option being the eventual cause of a single payer system.
If gov't run health is so bad, and private insurance companies are so good, why do they fear that a massive number of Americans will ditch the private companies and run to the gov't insurance, allowing for a single payer system to take hold? How do you explain a supposedly horribly run gov't program out-competing private insurers? Sounds like a party that has no faith in their own ideas.
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Schmed
September 29, 2009 1:15 PM in reply to LFC
HEY! Put that logic back in its lead-lined box! Somebody could get hurt with all that exposure!
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Shrubbit
September 29, 2009 1:08 PM
New HCR poll by Kaiser (c/o TP):
http://www.kff.org/kaiserpolls/posr092909nr.cfm
No data on PO, but this little nugget sticks out to me:
"Fifty-seven percent of the public -- including 56% of independents -- say the GOP is opposing reform plans more for political reasons than because they think reform will be bad for the country."
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sunnysteve
September 29, 2009 1:12 PM
LFC: This is politics. Please don't interject logic. It's not a factor here.
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Savannah Evans
September 29, 2009 1:17 PM
So when they broke for lunch, how many of those Republicans chose to ate food from a government-operated cafeteria?
And then someone should ask them, since they have a public option for their meals, why are they against regular Americans having a public option when it comes to health insurance?
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JohnAH
September 29, 2009 1:36 PM in reply to Savannah Evans
That's a pretty good comment! They had the option of choosing the Gov run cafeteria or head out to a private restaurant. It's nice to have options! Also last time I noticed, government run cafeterias haven't put private restaurants out of business just yet!
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rbe1
September 29, 2009 2:54 PM
It's time to start to figure how to defeat the republicans in democrats clothing.
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rbe1
September 29, 2009 4:21 PM
For me, the votes taking place re the health care reform are votes that define whether the participants are or are not democrats. It's that fundemental, and these prostitutes who call themselves democrats and vote no with the republicans have disgraced both themselves and the democratic party. It's time to get rid of them.
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GregoryW
October 3, 2009 8:00 PM
BUSTED! Government Healthcare Advocate Admits Public Option is Trojan Horse!
http://02e56fa.netsolhost.com/blog1/index.php/2009/09/21/first-post-of-the-new-era-pickle-1-advoc
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