Just a decade after Democrats steamrolled Republicans and public opposition to upend the American health care system, they are ready to move on to the next phase on their plan to force every American into a government-run health care plan.
Some of them, led by Bernie Sanders, Elizabeth Warren and Kamala Harris (about half the time — she flops like a fish), openly advocate banning private health insurance (except for “supplemental coverage,” meaning cosmetic surgery) and immediately forcing everyone into a government plan. That’s what the “Medicare for All” bill in Congress would do. Others, led by Joe Biden, adopt a more subtle path to destroying private insurance developed by Yale professor Jacob Hacker called the “public option” — alternately called a “Medicare buy-in” or “Medicare X.”
The “public option” strategy for ending private insurance is to set it up in a rigged competition with a government-run plan that can absorb losses indefinitely and can use the power of government to dictate below-market prices to doctors and hospitals. Simultaneously, private plans would be subject to regulations by the same government that is competing with them.
Americans would have the illusion of choosing to keep their private insurance for a while, but would all eventually end up in the single-payer government plan.
Some have said that makes the public option a Trojan Horse for single payer, but Professor Hacker, the inventor of the plan, disputed that characterization to a 2008 audience at the liberal Tides Foundation: “Someone once said to me, ‘Well, this is a Trojan horse for single payer. ‘ I said, ‘Well, it’s not a Trojan horse, right? It’s just right there! I’m telling you!’”
Hacker tried strenuously to walk those comments back ever since.
But third-tier presidential hopeful Kirsten Gillibrand said it again at the Democratic debate: “We put into the transition period for our Medicare for All Plan. I believe we need to get to universal healthcare as a right, not a privilege to single payer. The quickest way you get there is you create competition with the insurers. ... So, what will happen is people will choose Medicare. You will transition. We would get to Medicare for All. And then your step to single payer is so short. “
Biden reiterated his support for the “public option” at the debate when he called it adding a “Medicare like plan” to the Obamacare exchanges — as his campaign had tweeted the night before during the undercard debate: “The Biden Administration will give every American the right to choose a public option. “
Notably, unlike his opponents who endorse the identical policy, Biden is less forthright that a rigged competition between a government plan and private insurance will get us to single payer. He wants to appear less radical with an eye toward the general election. But it is a disagreement only on means, not ends.
Democrats want a “Medicare for all” system where costs run into the tens of trillions — doubling the size of the federal government — and are borne by taxpayers, and the only cost containment mechanism is delaying and denying care.
They want the power of life and death, what treatment is approved and what is denied, to be trusted to politicians and bureaucrats.
They want a system that disincentivizes research and development and the discovery of new cures.
And, as we saw so vividly in a show of hands, they want this taxpayer-funded health care system to be open to anyone anywhere in the world who chooses to come to the United States — legally or illegally.
Phil Kerpen: can be reached at phil@americancommitment. org.