
A number of key Senators--including Chuck Schumer (D-NY), John Kerry (D-MA), and Jay Rockefeller (D-WV) confirmed today that a Medicare buy-in is being discussed as an option as part of a grand compromise on a public option.
"It's an option, it's being discussed, it does have some issues that are being raised, but it remains--it's on the table," Kerry told reporters.
The idea was introduced to the discussion by Rockefeller, who told reporters that it's still unclear whether it would ultimately be a replacement for the public option.
"I think that's one of the reasons it was brought up, but you don't do everything in juxtaposition with something else always."
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Indie Pro
December 7, 2009 4:56 PM
the "grand compromise"?
not simply the "latest compromise"
or god forbid, the penultimate compromise
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Captain Dan
December 8, 2009 7:55 AM in reply to Indie Pro
So how does anyone know that it is the "next to last", the dictionary definition of penultimate, compromise until the last compromise is reached?
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Indie Pro
December 8, 2009 9:46 AM in reply to Captain Dan
If progressive senators are involved, and it is said to be the last compromise, chances are, there'll be one more.
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ericf
December 7, 2009 5:04 PM
If they really mean it, I have two reactions. A medicare buy in sounds good. Second, since letting anyone join medicare is what the Democratic grassroots have wanted all along, ... why did you muck around with the stupid "public option" all this time!!!
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Xantar
December 7, 2009 5:10 PM in reply to ericf
I'm kind of wondering the same thing. The important thing is the details: at what age will people be allowed to buy into Medicare, how much will it cost, and will there be subsidies for lower income people.
But you know what? If the terms of the agreement are reasonable and it expands Medicare, I don't really care how we got there. A good result is a good result.
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Eric Jaffa
December 7, 2009 5:41 PM in reply to Xantar
Another issue:
Will anyone at a certain age be able to buy-in, or only retired people?
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theone718
December 7, 2009 6:13 PM in reply to Eric Jaffa
Seems like it is 55 and older. They better fight to get that number lowered.
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elle a
December 7, 2009 8:01 PM in reply to ericf
sometimes, especially in a democracy, its good to let people work their way around to what you want, rather than insisting on it endlessly.
because the republicans so hate the public option, they have paintd themselves as the lifetime lovers of medicare.
if medicare expansion is now seen as the alternative to the public option, it would be very difficult for republicans to turn around and say they dont want that either.
for those believers in the obama is playing chess theory, it could be that the public option was offered up as the sacrificial lamb in order to pave the way for medicare for all.
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RocketEngineer
December 8, 2009 12:10 AM in reply to elle a
If Obama can play chess this well, bring on Sarah Palin!
Well, OK, if Obama can play tiddley-winks half as well as a three year old, bring on Sarah Palin!
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Tim
December 8, 2009 4:16 AM in reply to elle a
Fact is, medicare for all + reform = free universal health care.
This study (see graph p. 13) indicates that the U.S. government, already pays out more per capita than any other government, save Norway.
What that means is we are already paying enough in taxes, and the government is already spending enough money, to give us all universal health care, and in theory, provide a tax cut.
This would only seem to make sense.
Most of the high risk and expensive class of persons are already on government plans. Private plans charge a premium yet only insure healthy people.
If we were to get something like medicare-for-all, or even medicare-for-sale (buy in) the country will explode out of the recession like a rocket.
The Republican party will be shattered into a million tiny pieces.
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Beetlejuice
December 8, 2009 7:53 AM in reply to elle a
I love the way you think!
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Tim
December 8, 2009 4:08 AM in reply to ericf
Strategy, that's why.
I've been thinking that Obama should have just signed an executive order allowing those people who don't have insurance to be able to buy medicare at cost. Who could stop and why?
Since there are a million procedural votes between bringing this up and implementing it, bringing up something good early only serves to help reactionaries organize against it early.
The best time to bring something up would be right before conference because the bill that comes out of conference is THE bill that faces real votes for enactment.
I recall Churchill's discussions concerning the funding of Dreadnought warships: "one party wanted 4 built, the other wanted 6, in the end we compromised at 8." (Paraphrased from memory). Of course that 8 helped put the British in position to bottle up the German fleet in 1914-1918.
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Beetlejuice
December 8, 2009 7:48 AM in reply to ericf
I suspect the public option was a decoy.
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ronbyers
December 7, 2009 6:31 PM
The talk is about letting folks 55 - 60 buy in. The question is how much would they pay. Conrad is raising a stink about reimbursement rates and how they are established, but that stink needs to be addressed anyway. Another problem has to do with Medicare's long term financial health. Again a problem we need to address anyway. This idea could be a win, win for everybody, but as with everything we need to see the details.
The proposal even helps the insurance companies since the folks between 55 and 65 are real health care power users.
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Beetlejuice
December 8, 2009 7:59 AM in reply to ronbyers
The premium cost for people under 65 will be based on what it costs the government per individual over 65 - that's the battleground. If you're under 65, your premiums will be such that your coverage is revenue neutral to the program. It may be more than what you could get thru an insurer, however, you won't have to fight off a phalanx of paper-pushers with a table full of DENIAL rubber stamps and a 1000 year supply of red ink.
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jheartney
December 7, 2009 7:03 PM
If I were an insurance company, allowing Medicare buy-in would be a terrifying idea. True, it sloughs off the highest-cost tier of customers, but the problem is the logic of buy-in makes a slippery slope. Once you allow 55-60 year-olds in, the 50 year-olds will want in, and then the 45 year-olds, on on and on. And since there's no way to make healthy profits if you're competing with Medicare, it'd eventually destroy the private insurance market (which would be fine by me, frankly).
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Christov
December 7, 2009 7:50 PM in reply to jheartney
But how much will it cost? O has promised that this plan will not add to the national debt. Since Medicare, by its nature, has a bunch of old people in the pool, the real cost of insurance is much higher than private insurance for a pool with lots of younger people. Or if a bunch of people buy into Medicare and it is not subsidized, it could blow up Medicare even sooner.
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Nancy Irving
December 7, 2009 7:53 PM
This is good policy-wise, and also political-wise.
After all, the Republicans have just spent several months positioning themselves as the new-found best friends forever of Medicare.
This proposal could put them in a quandary: do they accept it with a good grace, or flip-flop back to their traditional position that Medicare is a hopelessly unsound entitlement (they love "entitlement") that is gonna bankrupt us (they love "bankrupt" too)?
I urge the Dems to keep pushing this as a compromise that they are willing to entertain for giving up the public option, even though this proposal might in fact be *better* than a pubic option.
Again, the GOP has painted itself into a corner by tarring the public option as "socialism," while extolling Medicare in an attempt to pander to conservative seniors. How can they now say that this new proposal *isn't* a compromise?
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admiralmpj
December 7, 2009 8:05 PM
Bigger question. When does it kick in?
Since we're not building a new system from scratch, one would think (hope) immediately.
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Ethan
December 8, 2009 3:47 AM in reply to admiralmpj
Yeah, like 6 months after the legislation is passed (which should be enough time for the gov to make the preparations and such).
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