On this Fourth of July weekend I was moved to tears by the blog I
read written by Karen Davis, President of the Commonwealth Fund,
the multi-billion left-wing health care foundation. Ms.
Davis invoked the words of Abraham Lincoln in discussing health
care reform:
As President Lincoln emphasized in his Gettysburg Address, the
U.S. is guided by the philosophy of “government of the people,
by the people, and for the people.” What is needed in health
care is a similar philosophy: a health system that is truly for
the people. Redesigning health care so that it puts people
front and center and ensures that care is patient-centered,
accessible, and coordinated should be the fundamental goals of
health reform.
Yes indeed. Except that in the previous paragraph, Davis who
fancies herself dedicated to the “unfinished work” of “great
task” had this in mind when discussing a “health system that is
truly for the people”:
A national organization, such as a Health Value Authority…could
be given the authority to negotiate provider payment rates and
methods on behalf of all insurers — public and private — and
eliminate the administrative waste now generated by thousands
of individual-provider price negotiations. In addition, it
could institute new methods of payment, changing the
marketplace from one that competes on providing greater volume
of services to one that rewards better outcomes for patients
and more prudent use of resources.
Not exactly a new birth of freedom but hey, the enemy today is
not whether that nation, or any nation so conceived, and so
dedicated, can long endure. It’s the failure of private insurance
plans to offer premiums “15 to 25 percent lower than premiums now
offered in the individual and small business market, depending
upon whether providers are paid at Medicare levels or at some
midpoint between commercial and Medicare levels.” Not exactly
Lincolnesque but you get the idea.
The signers of the Declaration of Independence came together
“with a firm reliance on the protection of Divine Providence,
[to] mutually pledge to each other our Lives, our Fortunes and
our Sacred Honor.” Lincoln urged the assembled at Gettysburg to
take increased devotion to that cause for which they here gave
the last full measure of devotion.
Can’t we at least — those of us stirred to action by Dr. Davis
and the billions lavished by Commonwealth in the pursuit of a
public option — to resolve to join a public plan now, to enlist
and abide by those stirring principles even when the law does not
require it.
I would submit that we cannot wait for Congress to act to
establish a people centered value-enhancing system. Rather, given
the resources of organizations such as Commonwealth and the
American spirit it embodies, people who support a public
plan should enroll themselves and their families in one
now. Further, any legislation that includes a public option
such require members of Congress to give up their current health
care and participate in one form of public health care.
Patriotism demands no less.
Specifically, Commonwealth Fund employees and executives, along
with members of Congress, their families, staff should enroll in
Medicaid or a public option that includes the following elements:
1. A Health Value Authority that would set prices for drugs and
medical treatments, reduce “rates for overpriced services” and
limit use of services identified by the authority as being
“overused.”
2. Cut what doctors and hospitals are paid to payment to Medicare
levels and limit future increases to the rate of inflation.
3. Limiting the choice and use of doctors and hospitals to those
participating in plans that are part of the “public option.”
4. Forgoing any out of pocket expenditures for services or care
not covered by the public plan to insure as a nation we achieve
the true goal of health care reform: “$3 trillion in health
system savings between 2010 and 2020.”
Indeed, enrolling in Medicaid or some variant now would give a
public option the leadership and head start it needs to give the
private plans a run for their money. If healthcare under a public
option is so “patient-centered, accessible, and coordinated” and
delivers high-quality, high-value care, why shouldn’t Karen
Davis, Henry Waxman, President Obama and others enroll or at
least take the pledge to “go public?”
To paraphrase Lincoln, those who support a public plan should
dedicate their health insurance portion as the starting point
place for those who here gave their lobbying efforts that that
public plan might live. It is altogether fitting and proper that
they should do this. Unlikely, but in America anything is
possible.
