- the public option no longer exists, the medicare buy-in idea was rejected, and now the going idea is a mandate for 30 millions americans to get health insurance. americans are going to lose out on this and HI premiums still remain unregulated, while americans receive the lowest amount of health coverage per dollar among industrial nations. obama and the democrats could use reconciliation to get a medicare buy-in but they won't ever do this.
The health insurance exchange will allow for better competition between states for customers, which'll allow for the regulation of premiums to go along naturally, just as everything else on the market does. There won't be "monopolies" of health insurance, such as in Alabama where 95% of the covered are through Blue Cross, when people will be able to get better deals through the exchange.
Mandating people is not a pretty thing, but prevention is the best means to go about this. Today, when people get sick, they wait and wait hoping their bodies will just fix themselves, and ultimately either get insurance when they're already sick, or see a doctor when the treatment is already become expensive. With someone covered, they can get treatment early on, and effectively save themselves, and the system, all the money that would otherwise go to treat the disease. Multiply this efficiency by 30,000,000.
It's a utilitarian perspective, but what really IS the solution to rising health care costs? Prevention of course. It's the best we've got. With people being covered till they're 26 now through their parents insurance, those entering the job market will be able to better prepare for the mandate costs (no more insurance payments through schools) when they get out. And even if they struggle, medicaid can jump in to help those struggling.
I personally think however, the Reid should employ reconciliation to pass the public option, despite the political problems it might cause for them. Can someone clear up exactly WHAT these costs would be? I'm a little confused as to why reconciliation is never talked about. Republicans used it to pass the Bush tax cuts, why not here to pass the public option?