Health Care Next! : If we can bail out banks, how about the uninsured?

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Health Care Next!

If we can bail out banks, how about the uninsured?

By Matt Miller
Posted Wednesday, September 24, 2008 - 9:02am

Yes, it takes a breathtaking level of chutzpah for Hank Paulson to bar as "punitive" any caps on Wall Street compensation or clawbacks of ill-gotten gains on the verge of an epic federal bailout. But Democrats would be foolish to fixate on payback when a bigger prize is at hand. They should tell Hank Paulson it's fine. Let the high rollers keep the loot they made wrecking the economy. We'll flog no fat cats in the public square. All is forgiven! In exchange, though, Mr. Secretary, we just want one thing: boost your $700 billion rescue to $800 billion and enact universal health coverage this week, too.

Welcome to the logic of the next American capitalism. Once upon a time - about a week ago, actually - insuring the uninsured was a pipe dream. Sure, Barack Obama had to talk about it to keep the lefties happy. But how could America stomach such a massive government intervention? Just thinking about it made one swoon from the deadly vapors of socialism. Plus, even if it was a good idea, how could a deficit-ridden nation begin to pay for such a thing?

How quaint such quibbles seem today! Now that we've socialized large chunks of the mortgage, banking and insurance industries - with auto and airlines not far behind - universal health coverage is among the most conservative initiatives left for America to pursue. And unlike finance - where market principles plainly lead to disaster - in health care, Democrats can throw sulky conservative ideologues a bone. Just give the uninsured vouchers with which they can buy decent coverage from among competing private health plans. Toss in a couple of rules to assure that insurers can't discriminate against the sick (a far lighter federal hand than Republicans will shortly be proposing for tomorrow's banks). Presto! We have "market-friendly" universal health coverage.

Whaddya say, Hank? Amortized over thirty years - like a mortgage, say - the extra ten percent or so added to your rescue package is peanuts. This deal lends the perfect patina of justice to a scheme that would otherwise be pure socialism for the rich. It can bring the bipartisan spirit we need to muscle through this crisis together. Best of all, it lets fallen financiers sleep better in the knowledge that their plunder ultimately served a cause greater than self. Or as they say on Wall Street nowadays: "Country first!"

  • Matt Miller is a senior fellow at the Center for American Progress. He blogs at Matt Miller Online.

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health care vouchers

Matt,

In education, voucher programs seldom provide sufficient funds to cover tuition at a good private school. In an aggressively inflationary sector like health care, vouchers would constitute an open invitation to private insurers either to raise existing premiums sky-high or to invent ever-more creative methods to deny benefits to policyholders. I don't believe that at this late date federal regulators can keep up with, much less rein in, the endlessly imaginative tricks health insurers have devised to save money at the expense of their customers' health and financial security. Even if I did believe such regulations could be devised, I would never pretend that it was a mere matter of tossing in "a couple of rules."

And anyway, why impose vouchers on health consumers when you aren't imposing them on bankers? Paulson is offering lenders straight-up socialism direct from the federal treasury. I think our nation's uninsured and underinsured deserve no less. So instead of your voucher plan, how about simply adding the following line to the end of the bailout bill: "Starting January 1, all citizens of the United States will be eligible to participate in Medicare." In addition to all the stated advantages, it'd be a hell of a lot easier to draft.

Do that and then, yeah, you'd get my vote to let Wall Street greedheads keep their executive pay, at least for this round.

cheers,

Tim Noah
senior writer, Slate

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