TPMDC

Lieberman: No Need For Medicare Buy-In Because Baucus Bill Was So Good

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While en route to a meeting of the Democratic caucus this evening, where members will discuss his threat to filibuster health care reform, Sen. Joe Lieberman (I-CT) addressed charges of hypocrisy over an alternative to the public option. Sort of.

"I didn't change my mind," Lieberman insisted. "I've been in this position for the last few weeks."

"We've got this very strong network and system of subsidies for people, including people who are 55-65 so the idea of the Medicare buy in no longer was necessary because they're taken care of very well under the Finance Committee proposal," Lieberman said.

For years, Lieberman had supported the idea of a Medicare buy-in as a promising vehicle for reform, including, as TPMDC first noted this morning, as recently as three months ago. Asked specifically about his position this past September, Lieberman now says that the Senate Finance Committee bill, finalized in October, dealt with the problem of the uninsured so well that the buy-in became redundant.


Experts might disagree with that contention, but what's particularly noteworthy is that the architecture of all of the health care reform proposals this Congress, stretching back almost a year, included a program of providing subsidies for uninsured people to buy policies on the individual market. The HELP bill, which passed that committee well before Lieberman's September interview, called for subsidies for the uninsured, as did early drafts of the Finance Committee's package, and the House bill. So it's not as if Lieberman didn't know that subsidies would be central to Democratic health care reform package for quite some time.

Separately, Lieberman wasn't particularly opposed to the Medicare buy-in idea last week, months after he'd had time to conclude that his old pet idea was no longer necessary.

We'll get you more on this when we can.

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mcc

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December 14, 2009 6:01 PM   

In October, Lieberman said he opposed the Baucus Bill.

He really is just changing his position to be whatever obstructs reform at the exact moment he's speaking.

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December 14, 2009 6:12 PM    in reply to mcc

Ezra Klein has his number.

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December 14, 2009 6:23 PM    in reply to mcc

Nice catch. Hopefully Brian can ask him about this next time. Or at least let other Dem senators know though asking them a question such as "I just talked to Sen. Lieberman and he indicated that he's against a medicare buy-in because the Baucus bill already covers that. However back in October Sen Lieberman spoke out against the Baucus Bill. What do you make of his ever changing reasons to be against Health Care Reform?"

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December 14, 2009 6:49 PM    in reply to mcc

It's painful to see how well the flip-flopper line worked against Kerry, and to see how ineffective it seems to be against the real flip-floppers.

When someone's position changes over time, as a function of dynamic nature of reality, it's not a flip-flop.

When someone's position changes at whim for political convenience, that is serious flipping and flopping, yet we can't make it stick to the GOP because they're seen as national hero's for their opposition by their base (never mind the fact that Kerry WAS a national hero).

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December 14, 2009 6:53 PM    in reply to mcc

There's got to be accountability on the hill so these flip-floppers are brought to the attention of voters nationwide.--if only the MSM would branch out and cover politics.

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December 14, 2009 7:17 PM    in reply to tpmgary

It's not so much the flip-flopping that's the big deal. It's that Lieberman is the self-proclaimed 60th vote, but refuses to accept the responsibility that comes with the position. As Spiderman learned, with power comes responsibility. That Joe Lieberman would allow millions of Americans to die -- not to mention the number who will go bankrupt -- because one minor provision wasn't to his liking shows someone who is abdicating his responsibility as the self-proclaimed 60th vote.

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December 14, 2009 7:14 PM    in reply to mcc

Lying Lieb is a serial liar. He can't help it. Point out the lie, and he'll come up with another.

You would think this episode would destroy his credibility in DC, but nothing can do that. Joe is the poster boy of the Village.

John

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December 14, 2009 6:05 PM   

The last line of defense is the 85% minimum medical loss ratio. That was intended as a temporary measure until the PO got up to speed, but now it needs to be made permanent. It's the only means left to keep insurance companies from running up rates.

I'm sure Lieberman (I-Aetna) will oppose that, too.

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December 14, 2009 6:25 PM    in reply to mans_best_friend

If we're using reconciliation, why not make it 90%? In fact, why not pass Sanders' Medicare for All amendment?

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December 14, 2009 6:40 PM    in reply to Tanjaoui

Because you still need 50 votes. Lieberman, Ben Nelson, Landrieu, Lincoln, Pryor, Hagan, Webb, Warner, Baucus, Conrad, Bill Nelson and keep good government types like Feingold and White House...

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December 14, 2009 6:10 PM   

Lieberman is against everything, including Lieberman.

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December 14, 2009 6:26 PM   

Liars always run into trouble contradicting their other lies. Lieberman is against any health care reform because the progressives are for it. He's not making any reasoned stand he's just torpedoing any bill that gets close with some lie of an excuse.

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December 14, 2009 6:33 PM   

I tend to think with the House's rating rules (2:1 age rating, no smoker rating), adults ages 55-64 would save more from the community rating's generational subsidy on the Exchange than from being in a risk pool with other adults ages 55-64 with Medicare's bargaining power. I think people continue to underestimate the power that risk selection and rating rules have on the price of insurance. I say this as an actuary.

But threatening a filibuster after proposing the same thing you threaten to filibuster three months earlier? That doesn't speak kindly of a politician.

I think if Senate Democrats were smart, they'd trade the public option and the Medicare buy-in for co-ops and the House's version of the following items:

  • Insurance rating rules
  • Individual mandate exemption and penalty
  • Subsidy levels
  • Minimum actuarial value
  • Pay-or-play provision
  • Rules on the Exchange to have better bargaining power and prevent insurers from cherry-picking

That's a damn good trade if you ask me.

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December 14, 2009 6:52 PM    in reply to jimbomoron

Thanks for this post Jim. Insightful.

Can you please explain the co-op approach from your perspective as an actuary? Do you feel that this would bend the curve like the public option? Or would this just be a settlement?

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December 14, 2009 7:08 PM    in reply to ohyeathatsright

The one advantage of the co-op over a negotiated rates public option is that the co-op is less likely to attract more sick people than the public option. As far as bargaining power, the public option still has it over co-ops.

I think you have to look at the bill as a whole rather than just as the sum of each individual part. I think the bill as whole would be better if the House's version on the items I mentioned would win the day -- even if that means co-ops. What's going to determine the bill's long-term political fate is affordability and risk selection. Can people afford the premiums? If people can afford the premiums, can they afford the cost-sharing? Can older adults afford the premiums and co-pays? What will the risk profile be of people on the Exchange compared to that of employer-based health insurance? How much bargaining power will the Exchange have? Are plans on the Exchange competing on the quality of their services rather than on the people who they select?

So that's my view. Go for the affordability and risk selection provisions -- they have more power to determine the price of insurance than the bargaining power of the public plan.

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December 14, 2009 7:52 PM    in reply to jimbomoron

I agree with a few exceptions. Under the Senate bill, the ratio is 3:1 with an additional 1.5 for smokers. Also, the exchanges, if passed, won't be in existence for years and those of us in the 60-64 bracket won't benefit at all. Instead, we'll have the cadillac problem because of the high cost to insure older workers. More jobs will be lost and more employers will drop their coverage.

The Medicare buy-in was pretty much our only hope. The current Senate language excludes individuals from purchasing insurance as a part of the large risk pool so the 55-59 won't benefit if they are not insured by their employer.

There's just no winning for older people unless you're already on Medicare.

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December 14, 2009 6:36 PM   

NPR just called LIEberman out on his flip-flopping.

For what it's worth.

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December 14, 2009 6:49 PM    in reply to nowhereman

Zero.

Don't get me wrong, I'm a fan of NPR, but what does Lieberman care? He already knows that anyone who pays the slightest attention knows he's a hypocritical jackass playing his petty grudge for all it's worth; it hasn't stopped him yet, and I seriously doubt that NPR calling him out is going to tip the scales.

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December 14, 2009 7:02 PM    in reply to Zell

He does have reelection in '12 and the word needs to get out somehow, starting with some media outlet. Ah but just now, NPR reports Senate Dems might well drop the Medicare provision because of Joe.

Man, I hate that guy.

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December 15, 2009 8:26 AM    in reply to nowhereman

2012 is too far in the future to fase him. He will either pull some trick out of the hat to get reelected, or else he will just retire and enjoy a lucrative career as a lobbyist and talking head.

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December 14, 2009 6:46 PM   

Even taking Lieberman at face value here -- which is admittedly difficult -- that's not a reason to filibuster. Jackass.

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December 14, 2009 6:47 PM   

Enough of this.

The Dems need to man up and do the following, or this will never end.

1) Kick Lieberman out of the caucus TODAY. Strip him of EVERYTHING. Joe can be the little Senator in a caucus of one from Connecticut. If this happens, or if he goes R-Connecticut, his re-election chances are terminated. He is a net loss to the interests of the Democratic party and the majority of Americans who support HCR (irregardless of how many times Mitch McConnell makes up new ways to say the majority of Americans are against HCR, any polling not done by Rasmussen says otherwise).

2) Nuclear option: 51 vote, reconciliation, ram it through. Bury the Republicans, and make THEM own a direct opposition to the will of America. The Democrats are doing this backward: the public is on THEIR side. Paint the Republicans as what they are: the bad guys, and the evil empire in this narrative. Why they don't do this and play chickenshit games is beyond me.

3) Man up. See #2 above.

4) Embitter the Republican party. Make them seethe. Make them furious. Get Michael Steel or his successors as angry as as if they were Fred Phelps at a protest. I *want* them angry. I want them furious. I want the rage and howl that followed in the wake of Nixon's disgrace to be like a calm summer breeze compared to the hurricane of fury health care reform will incite. Why? Let America see what the Republicans REALLY stand for. History will take care of itself from that moment forward, as she always has with any fascists.

5) In regards to #4, teach Americans the truth: that the modern Republican party and it's Tea Party offspring are collectively becoming the American version of the British National Party: http://en.wikipedia.org/wiki/British_National_Party

6) Game, set, and match. How do you beat the Republicans? Bury them with the truth, and allow no quarter. Ever.

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December 14, 2009 6:53 PM    in reply to Seafarer

You can't strip him without a Senate vote that would require 60 votes - at least that is my understanding. However I'd kick him out of caucus anyways even if he could use his chair of the homeland security committee to badger and pester Obama. This is Obama's mess anyways as Dems were prepared to boot Lieberscum after the 2008 elections and Obama stepped in to keep him in the Caucus and with his chairmanships.

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December 14, 2009 7:00 PM    in reply to Walter Mitty

I'm sure someone can clarify this. Lieberman needs to be procedurally removed from every possible thing the Democrats can remove from him. You don't get to do this sort of thing without repercussions.

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G3

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December 14, 2009 7:16 PM    in reply to Seafarer

I agree. Call his bluff. FORCE him to caucus with the Republicans.

He's doing this so he can lay claim to CT Independents. I'm sure the Republicans would not run anyone of substance in 2012. If so, it'll be a repeat of 2006.

If the Democrats don't kick him out, they'll almost guarantee his re-election.

Make him show his cards!

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December 14, 2009 9:02 PM    in reply to Seafarer

In the end, your points don't matter. Lieberman knows he is toast in 2012, whether he caucuses with the Democrats or the Republicans. He does not care about losing his committee assignments or his chair,since his time is up in three years. He knows he's going down, and he wants to take the ship with him. Secondly, the entire bill cannot make it through reconciliation, particularly the insurance reform parts. Thus, it actually makes sense to pass the bill without the PO, and then pass the public option through reconciliation later on. However, you don't want to announce this beforehand, lest holy Joe decide to torpedo the insurance reforms, even without the public options.

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December 14, 2009 6:53 PM   

Stop giving the guy the attention he so desperately craves.

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December 14, 2009 7:01 PM   

I usually just lurk, but now in all the back-and-forth which has happened lately, I have lost my place.

Is there anything actually left in the Senate version of the health care bill which could potentially be beneficial to consumers? As I understand it, there are now annual caps to what an insurance company is obligated to spend, thus guaranteeing that those who really need health care for a life-threatening crisis will almost certainly be in the same situation, paying-for-care-wise, they are in now. There are mandates to buy health insurance, but no subsidies and no limits on what health care insurance companies may charge for premiums.

Is there anything left which could potentially be helpful to the "common man," or has all that been taken out by now?

Jen 8)

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December 14, 2009 7:50 PM    in reply to swaragirl

It's a work in progress. It becomes progressively worse.

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December 14, 2009 7:09 PM   

F- the Democratic Party. Stop sending me requests for money until you get a spine and fight for whats right.

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TJ1

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December 14, 2009 7:10 PM   

The reason doesn't appear to be of such weight as to provoke a fillibuster threat. Viewing life is a study in probabilities. The probabilities suggest to me that the real reason is Senator Lieberman's great hate for liberals and progressives - he is willing to sell out Americans in need.

If, as some suggest, he's doing this because he knows he won't run for reelection, this act leaves some negative legacy for American students of political history. My personal view is that his hate is so great that he won't be able to resist trying to rub liberals' noses in it one more time by winning reelection. His egotism is so great that he will not give up the seat for nothing in return. His view - he wins it, then controls the seat by selecting his successor after resigning midterm.

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December 14, 2009 7:14 PM   

Is that what his wife told him to say?

What a joker.

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December 14, 2009 7:20 PM   

I have in the past been opposed to punishing Liebermann fdor his behavior, as I believe it necessary for us to welcome a big tent.
But Liebermann is abusing us all: America, the congress, and Obama - all for what is now obviously a biug time pay off after he leaves office. No other motivation can be understood.
He really has shown just what he thinks not only of the Dems, but even HIS OWN POLICIES!
Time for the Ds to do something about this sad excuse for a representative of the people.
He is spitting on all of America - Obama needs to lead the charge against this man who is demonstrably worse than even the likes of Inhofe. At least Inhofe is consistent: Liebermann is now very definitely the most slimy, dishonest anbd spiteful person in office. Not only spiteful to his colleagues, but spiteful to his constituents, who he is opposing across the board. He is opposing things he was actually elected on.
He is the epitome of a traitor - and he needs to be treated as such.
Politically - not physically!

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December 14, 2009 7:55 PM   

Leadership begins at the top and that starts with the president. And so far president Obama has been a leaderless wimp with who stands for NOTHING. I truly regret supporting his 2008 campaign, naively he would truly change domestic policy for the good of the people.

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December 14, 2009 8:31 PM    in reply to ru4862

People said the same thing about FDR, JFK, LBJ, and Clinton. Chronic discontentment among a certain element of the Left is nothing new and no one really cares about the routine chorus of budding Naderites vowing to never be politically relevant again.

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December 14, 2009 8:27 PM   

And CBO will contradict Joe in 5, 4, 3, 2...

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December 14, 2009 8:32 PM    in reply to Stroszek

And you know what? That doesn't matter. Obstruction doesn't need any logic or reason or fact.

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December 14, 2009 8:35 PM   

Baucus bill a POS, Joe. Just like you.

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December 14, 2009 10:59 PM   

The senate bill forces everyone to buy insurance? I'll pledge to send in my monthly premium late every month. How about you reading this?

I'll pledge to call up my insurers customer service # with stupid questions and demand to speak to the CEO to voice my disdain for his corporation --- just to jam up the phone lines. How about you?

I'll pledge to show up at pro single payer rallies in front of health corporation buildings and be as noisy as possible...and risk getting arrested. How about you?

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December 15, 2009 12:16 AM   

The GOP is senile. He has to go Obama's way. Liebermann may end up on the other side of senile if he keeps up the obstructification.

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December 15, 2009 8:43 AM   

Priests and pastors are not shy about injecting partisan politics into sermons. It's time for some concerned rabbis, in Connecticut and elsewhere, to begin calling out Joe Lieberman and all other Jews (Democrats and Republicans), who are failing to participate constructively in this great moral and humanitarian crisis.

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December 15, 2009 4:09 PM   

I'm 47 years old and have my own private insurance (Blue Cross Blue Shield/Tennessee) because my employer's coverage (also w/BCBST) is so awful. Fortunately, he helps me out a bit with the premiums, so it's not as bad as it could be.

But.. last year my coverage jumped up to $6000.00 a year, prompting me to up my deductible and doctor's office co-pay in order to bring it down to $4800.00 a year. Of course, I fully expect it to jump right back up come next month, so who knows if I made the right decision a year ago..

At any rate, while the Medicare buy-in sounded pretty good (although not as good as a robust public option!), unless I'm missing something it doesn't look like it would've done me any good.

Can't afford to lose my private coverage because I'm now uninsurable, can't really afford to keep it.. what's a guy to do?

I certainly can't depend on our esteemed Senators from Tennessee (Alexander & Corker), nor my rep (Cooper) to care; they've proven that already.

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