Roundtable on the Public Option

Roundtable on the Public Option

By Special Report With Bret Baier - September 29, 2009


SEN. CHARLES SCHUMER, D-N.Y., SENATE FINANCE COMMITTEE: If the private insurance market is serving America so well, they have no public option to fear. If they're serving it poorly, the public option will force them to serve better. So it's a win-win.

SEN. CHUCK GRASSLEY, R-IOWA, SENATE FINANCE COMMITTEE: Slowly, but surely the government plan would take over the market. Eventually all the promises about creating a level playing field have been broken, and we would be left with a single-payer government-run health insurance program.


BRET BAIER, HOST: Well, some of the debate today in the Senate finance committee over two specific amendments about the public option. This is the government-run option that was trying to be inserted by Senators Chuck Schumer and Jay Rockefeller, both Democrats. Both of those amendments failed.

Here is how the latest polls stack up on the public option: The latest Rasmussen poll, do favor or oppose the public option? There you see how it stacks up. It continues to go down, 41 percent favoring now.

Let's bring in our panel about this and the status of health care reform legislation: Steve Hayes, senior writer for The Weekly Standard; Nina Easton, Washington bureau chief of Fortune magazine, and syndicated columnist Charles Krauthammer.

Nina, how about this debate today? One amendment failed with five Democrats opposing, all Republicans, the other one, three Democrats voted to kill the public option. Is it dead?

NINA EASTON, WASHINGTON BUREAU CHIEF, FORTUNE MAGAZINE: And one of those was Chuck Schumer sort of eased the pain of the amendment. He tried to soften the blow of the public option and it was still voted down.

I think the lead out of this is that you are not going to get a public option through the Senate without changing the rules of the Senate to just have a 50 percent vote, because what's going to happen is -

BAIER: The nuclear option reconciliation.

EASTON: The nuclear option reconciliation.

But what's going to happen is if you pass this through the Senate without the public option, though the Senate, it will go to conference in the House. There will be a public option in the House bill - we know that.

The liberals of the party are not going to stand down on the public option. It's going to come back to the Senate. And, you know, Democrats today clearly indicated that they are not going to vote for a public option, even after it has gone through conference.

BAIER: Charles?

CHARLES KRAUTHAMMER, SYNDICATED COLUMNIST: The public option is dead. We have been saying it over and over again. It is a dead parrot.

BAIER: Was today the end?

KRAUTHAMMER: I think the parrot was nailed to the stake. When you have a three-vote majority, and you lose by five, and you know that there are a lot of Blue Dog Democrats in the House who are against it - it will pass in the House, but in the Senate it doesn't have a chance.

What I don't understand is why it is so important to the liberals. They can dangle the public option and drop it at the end, because if they do what I suspect they will do, which is to heavily regulate the insurance companies where they decide what monies are coming in and what monies are going out, by regulating if you can use preexisting conditions, for example, and by mandating individuals have to buy insurance, which will create a revenue stream, the government is going to control the insurance companies the way it controls utilities.

They're going to turn the insurance companies into utilities like AT&T in the past, and essentially insurance companies are going to have to go to government for rate hikes.

So if you can have the government-run health care through the guise and disguise of so-called private insurance, why do you need a public option? I think it's a lot easier to go around all this and simply heavily regulate insurance companies, which will produce government-run health care.

BAIER: Steve, some Republicans are saying, listen, if you're going to talk about the competition, and that's the bottom line to try to drive costs down, then why not allow across state lines health insurance companies to offer plans?

STEVE HAYES, SENIOR WRITER, THE WEEKLY STANDARD: Well, look, there are all sorts of different kinds of proposals that we have seen from Republicans - both in the House and Senate - that would I think genuinely enhance competition.

The idea that that creating a public option, creating this government-run insurance body, would enhance competition is fanciful. It has always been fanciful. It doesn't work. The government is not there to create competition. The government is there when it intervenes in the free market to squelch competition.

The idea that this would end up creating more competition, I think, is false and what Charles Grassley said, this is likely just a step along the path to single-payer, is exactly right.

EASTON: I was just going to say, the other thing that developments in the last 24 hours have shown us is the president came in saying we have to control costs in the health care system, and you know, it's not only - it's a burden on taxpayers. It's a burden on business. It's a burden on people. We got to control costs.

And what we're seeing is shifting of costs instead. So we're going to expand Medicaid and shift the burdens to the states, who are going to have to cover those folks.

Senator Harry Reid has put in an exemption so that he protects his state of Nevada. He doesn't have to do it. He gets full coverage from the feds.

And then today Senator Kent Conrad raised the possibility of hospitals closing down in his state in a rural state because right now Medicare is subsidized basically by private insurers. They don't get enough money from Medicare to stay open. So if you put in a public option paying Medicare rates, his hospitals couldn't stay open.

So you're not controlling costs. You're just shifting the burden.

BAIER: Charles, when you come down to it, if you take out all of the controversial things that we have focused on, you take out the public option - the government-run plan - you take out immigration questions, you take out abortion, you take out death panels and all the legislation, there is almost still a $1 trillion bill that cuts $500 billion from Medicare and Medicaid and there are questions about how it is going to be paid for.

KRAUTHAMMER: The president had talked about waste and abuse in the $500 billion. Anybody who believes that will believe anything.

You cannot cut half a trillion out of Medicare and promise that you won't touch a hair on the head of a senior. Everybody understands it is a phony argument.

There will be paper regulations about mandating cuts in Medicare. We already have them in legislation from the late '90s where there's an outside committee which recommends the cuts in Medicare. In the last six years, every year, the Congress has waived these cuts and none of them have been instituted.

So we know it's not going to happen and we know that no government is going to cut senior care. What it's going to do is expand the deficit.

BAIER: All right, we have done this 100 times, but down the line, is there a consensus bill that actually passes both houses?

KRAUTHAMMER: Yes. The Congress will pass something because the president will sign anything.

EASTON: I was told by White House officials 60/40 percent chance that they will go with reconciliation in the Senate. So I think there is a good chance they will change the rules and get through the public option that they want.

BAIER: And the bill would be the Senate finance bill?

EASTON: It would have a public option. So no, it wouldn't be exactly that.

HAYES: I would be shocked if it had the public option and it passed.

If the president signs on to a bill that goes through reconciliation, I think he will be in serious political trouble because he ran as a candidate opposed to budget gimmickry and that would be sort of the mother of all budget gimmickry.


Early Forecast: More Gridlock
Ruth Marcus · November 9, 2014
Progressives Don't Need Washington All That Much
Froma Harrop · November 6, 2014

Special Report With Bret Baier

Author Archive

Follow Real Clear Politics

Latest On Twitter