The Other Ones

The other two bills that have been kicking around the health care dais in our Congress are the The Healthy Americans Act and the United States National Health Care Act.

The Healthy Americans Act was put forth by Oregon Senator Ron Wyden, a "Blue Dog" Democrat. The bill relies on the private insurance market while imposing a series of regulations to squeeze savings from the private sector. It also requires individuals to buy coverage for themselves, the controversial "individual mandate." This is similar to how each of us goes about getting auto insurance.

The thing I like about this bill is that it puts the controls for health care back into the hands of the individual. It has often been said that if insurance companies didn't run the health industry, people would look at the costs of some things and say no. I also like the regulation in an industry that has basically done whatever they wanted to do with costs for the last thirty years.

My problem with this bill is no public option. There has to at least be a public option. And there is the simple fact that such a radical restructuring could cause more damage to an already fragile system. The president said his discussions with Wyden are similar to those with people who advocate a single payer system. In theory, those plans work. As President Obama said of the plan, though.

The problem is, we have evolved partly by accident into an employer-based system. A radical restructuring would meet significant political resistance. Families who are currently relatively satisfied with their insurance but are worried about rising costs ... would get real nervous about a wholesale change.

And speaking of the single payer system, the final bill floating around DC is the United States National Health Care Act. This bill is a single payer system, similar to Canada's health care system, that was put forth by John Conyers. Of the three bills that seek to overhaul health care in the United States, this is the one that is being taken the least seriously. Although, you wouldn't know it by listening to hyper paranoid voices on the right.

In fact, virtually all single payer advocacy groups have been screaming at the top of their lungs that they are being excluded from the process...other than a pity meeting with Max Bachus. The fact is that this bill is never going to pass because our country, despite what the flat earthers will have you believe, is center right. Private industry will never be shut out of the process. It's too integral to our economy and our future as a nation. This is very true when it comes to health care. I do agree that competition spurs innovation and with a single payer system, we would not have that.

And that's why out of all three bills, I favor HR3200 out of all three. Primarily, it offers the best of both worlds and addresses the issue of how to pay for all of this. Wyden's bill relies too heavily on the private sector and Conyers bill will, in all likelihood, break the bank. We need to strike a balance and that's what this bill does. And this balance allows for traps and pitfalls that are going to occur along the way where the other two really don't.

It certainly isn't perfect but it is a start. We need a start. Simply doing nothing is not going to cut it.