There is a crisis, and it appears to be located in the U.S. Senate. My esteemed Keloland colleague and colleague Emeritus, David Newquist, has this:
John Thune has become the voice of the GOP–Groundless Obstinence and Petulance–according to the Huffington Post. He says his party will unanimously oppose any health care reform, no matter what is proposed.
For someone who complains a lot when he thinks that others have distorted his words, he seems very careless in describing what Senator Thune said or what the Huffington Post said he said. The Huffington Post article he links to makes it clear in the title that Thune was only speaking about "the Newest Heath Care Compromise," and hardly ruling out GOP support for any bill.
Sen. John Thune (R-S.D.) told the Huffington Post that he did not think the dropping of a public option for insurance coverage from the bill would be enough for Democrats to win even the support of moderate Republican Senators Olympia Snowe or Susan Collins, both of Maine.
"I just think that our side believes that it is a really bad idea to take a program that is already sinking and put more people into it."
Here is how the Washington Post describes the "newest" idea that Reid is floating:
The 11th-hour "compromise" on health-care reform and the public option supposedly includes an expansion of Medicare to let people ages 55 to 64 buy into the program.
This deal, which the WaPo dates back to the Clinton Administration, seems designed to get something like a "public option" into the bill without calling it a public option. Republican opposition may be obstinate and petulant, or maybe not; however, it is hardly groundless. The WaPo points out that it is difficult to tell what effect this "buy in" would have on the reform scheme.
Presumably, the expanded Medicare program would pay Medicare rates to providers, raising the question of the spillover effects on a health-care system already stressed by a dramatic expansion of Medicaid. Will providers cut costs -- or will they shift them to private insurers, driving up premiums? Will they stop taking Medicare patients or go to Congress demanding higher rates? Once 55-year-olds are in, they are not likely to be kicked out, and the pressure will be on to expand the program to make more people eligible. The irony of this late-breaking Medicare proposal is that it could be a bigger step toward a single-payer system than the milquetoast public option plans rejected by Senate moderates as too disruptive of the private market.
As the perhaps obstinate and petulant, but hardly Republican WaPo presents it, there is no way to predict what unintended consequences may follow.
But Republican opposition is based on broader considerations. Expanding Medicare would be a step towards a single payer plan. But it was also mean expanding a program that is on schedule to go broke in only a few years. It also looks like more sleight of hand on the Democrat's part. They are already counting on dramatic cuts in Medicare to make other parts of the bill look more affordable. As the WaPo points out, Medicare reimbursement rates are already too low to sustain hospital and doctor care, which results in a shift of costs to private insurance. The medical establishment is vehemently criticizing the idea.
This looks like a big mess. Rumors that a deal has been reached appear to be greatly exaggerated. I am not even certain that there is a coherent idea here. Meanwhile the petulant and obstinate public continues to oppose the bill by wide margins. Quinnipiac and Rasmussen put the 52% opposed/38% in favor, and 51/41 respectively. Worse news for reform is the CNN poll, which has 61% opposed and only 36% in favor. That's the first time to my knowledge that opposition has risen above 60%. If it's on track, the CNN poll is disastrous news for Harry Reid.
In opposing the Senate reform bill, Senator Thune is not only exercising common sense. He is standing on behalf of the majority of the American people.
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