Pete Stark: "Medical Unicorns"

Why are co-ops a non-starter in the health care reform debate? Because they won't work. On Thursday Pete Stark blasted them:

there is no real example of either the regulation [of health co-ops], or how you would establish them, or where they would get enough people to have a purchasing base. So you might as well talk about unicorns.

From a paper released Thursday,

a public health insurance option could also lead to a more transparent market. As long as insurers conceal provider prices, price competition in provider markets is unlikely. As long as coverage protocols and utilization data are concealed, quality competition among plans is unlikely. The coverage protocols and provider payment rates of the public option, on the other hand, would be open to the public. And data on the utilization of health care services under the public plan would be available for expert analysis and reporting, just as Medicare data are now.

Finally, the public option is necessary as a backstop against risk selection. It takes more than simply prohibiting risk selection to stop it. Even with risk adjustment and strong non-discrimination rules, private insurers are likely to find a way to dodge people whose costs are expected to be high in order to protect profitability. The job of the public option, on the other hand, is to accept, not to avoid, risks and to be accountable to the public, not shareholders.

What mcjoan said:

That's what all the fuss is about, why this has become the key element of a proposal for so many people. We want the damned reform to actually work. Co-ops won't make it work, they just aren't going to be robust enough to do the job. Insurance reform is really good, and we very much need that, too, but it isn't going to be enough either. For one thing, does anybody seriously believe that our government could set up a strict regulatory scheme that insurance companies would actually follow? That'd be a first.

Untold stories: thousands of American expats are medically exiled health care refugees

Moving testimonial about a little-known aspect of our current health-care system:

Cartoon Explains the Public Plan in under 5 Minutes

Great cartoon does an awesome job of explaining the proposed new federal health insurance plan:

What Health Care Overhaul Means For You

In this NPR article, What Health Care Overhaul Means For You, there is a good interactive visualization of what the healthcare public option proposal would mean for Americans with different levels and types of coverage.  One of the commenters there wrote:

It has been my experience that people who have a disdain for helping others have never really had the experience of bad luck or disaster. Though some people who experience difficulties become hardened or bitter against others, most don't. Once these people find themselves in a situation really beyond their control with their heads underwater and struggling to stay afloat, then they start to get the rest of us who have experienced some of the rougher waters of life and who have learned that many times those who suffer don't "deserve it". That’s why I believe in safety nets. …

I don't understand this reluctance of Americans to spend American money on our own people. People had no problem giving Bush/Cheney a trillion dollars for their "war" for a country on the other side of the planet, why aren't you willing to spend our money making sure our own are cared for? All Americans deserve universal health coverage. Every other country that provides health care to all (including people who get sick when visiting their country) provides this care and it costs them a LOT LESS than what Americans are paying right now - and we aren't getting universal care!

I could not agree more.