A carefully constructed "public option" to private insurance would provide an antidote to the market consolidation that has propelled premium increases and administrative inefficiencies, shrunk coverage and degraded quality. However, it can only succeed if it:
• Provides all Americans access to the largest risk pool possible. Universal access to Medicare provides the best option.
• Includes new regulation of private insurers to level the playing field with the new public option-namely guaranteed issue, community rating, and a guaranteed base benefit.
The option to join Medicare, regardless of age, would be beneficial to Americans because by almost every measure, Medicare is cheaper and more effective than private plans, according to government and academic research. For example, Medicare spends 2% of revenue on overhead; private insurers typically spend 25% to 27% for overhead and profit.
Medicare also comes with established relationships with health care providers which, though undercut by low reimbursement rates and a prescription drug program hamstrung by drug manufacturers, provide a solid base for expansion. Competition with a low-overhead health insurance alternative provided by Medicare will force private insurers to prove that they can be cost-effective while offering similarly comprehensive coverage. Leveling the playing field between private insurers and the public option by requiring all players to guarantee access at a fair price would significantly reduce costs and increase access to health care.
FEHB is a poor choice for the public option. FEHB, which provides health insurance for all federal employees, is a captive of private insurers. Enrollees are provided a choice of high-quality insurance plans, but program costs are higher than need be due to insurer overhead and profit demands.
To benefit from real savings, the "public" in public option must mean "public program." If not, then the public option will become a meaningless bargaining chip in the health reform debate that would be used to keep the stakeholders at the table, but provide most Americans with only table scraps.
(Consumer Watchdog)
The bottom line is the CEOs running the for-profit insurance companies don't want to jeopardize their mega-salaries. They want to continue denying people care and rationing care to the people so they can make ****loads of money. These CEOs will spend millions and millions to kill any public option.
The danger any public option faces are the conservative Democrats who have been bought off by industry donations and believe the conservative talking points they've been spoon-fed.