The Finance Committee hearings are starting to display the
Democrats' intra-party rift over the creation of a government-run
plan.
Sen. Kent Conrad argued that an amendment proposed by Jay
Rockefeller that would create a government-run plan that would
set reimbursement rates at Medicare levels would bankrupt every
hospital in his home state of North Dakota. Instead, Conrad
favors creating tax exempt non-profit insurers, or co-ops.
Rockefeller called Conrad's claim about the threat to hospitals
"nonsense."
The Rockefeller amendment would force any doctor who accepts
Medicare to also accept the new government plan for the first two
years, after which point the doctors and hospitals could opt out
of the government plan, and the Department of Health and Human
Services would negotiate rates with doctors and hospitals.
By making it optional after two years, Rockefeller tried to argue
that it isn't coercive. And he also strained to make the argument
that even though the plan would be administered by the federal
government, that it wouldn't be government-run.
Judging by the debate so far, it seems that the Rockefeller
amendment will be defeated easily. After that, the committee will
consider an amendment by Sen. Chuck Schumer that would create a
government plan that would not set payment levels at Medicare
rates.