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Nancy Pelosi on the Trigger

Jay Newton-Small has a good look at the state-of-play within the House of Representatives. This seems the key bit of news:

"I believe that a public option will be essential to our passing a bill in the House of Representatives," Pelosi told reporters on the White House driveway Tuesday afternoon, after a meeting with the president. However, when pressed about whether she might accept a compromise that would allow for a public plan only if lack of competition in the marketplace triggers it a few years down the line, Pelosi for the first time equivocated, as her Democratic-leadership colleagues had already done. "This, as you know, is the legislative process. And right now, we will have a public option in our bill."

In some ways, I'm more skeptical of the trigger than I am of a co-op option (at least a co-op option organized along the lines that Chuck Schumer has suggested). I've not yet seen a proposal for a trigger where the trigger is set sufficiently low and the public option it would create would be national, rather than state-by-state. Suzy Khimm's reporting on Snowe's conditions did not comfort me.

At the very least, the trigger and the co-ops could coexist, just as the public option and the co-ops could — and should — coexist. The more choices people have, and the more models that get a shot at proving themselves, the better off we are.

By Ezra Klein  |  September 9, 2009; 12:08 PM ET
Categories:  Health Reform  
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Next: The State of Health-Care Reform

Comments

Having both coops and the public option reduces both groups ability to leverage their size to get better prices from providers and save people money. We need a public insurance option that is large enough to go toe to toe with the big drug, hospital, and medical device corporations. Splitting the providers up makes this more difficult.

Posted by: srw3 | September 9, 2009 2:10 PM | Report abuse

BUT... can human beings and fish coexist peacefully?

Posted by: BigTunaTim | September 9, 2009 2:58 PM | Report abuse

"I've not yet seen a proposal for a trigger where the trigger is set sufficiently low and the public option it would create would be national, rather than state-by-state."

I understand the concerns about affordability triggers being to high, but does it have to be a national public option? Why can't it be effective operating only in markets with insufficient private competition?

Posted by: JWHamner | September 9, 2009 3:07 PM | Report abuse

The comments to this entry are closed.

 
 
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