Evolution of Healthcare Policy: From Failed Public Plan Option to Medicare
In 1962, a public plan option was proposed, but the idea was turned down, leading to the enactment of Medicare in 1965. The concept of a public option as a pathway to universal coverage is explored, highlighting its merits, challenges, and risks. A best-case scenario for a public option strongly tied to Medicare is presented, including key features like expanded coverage and affordability. The evolution of healthcare policy towards a more inclusive system is discussed, emphasizing the importance of aligning future public options with ideal standards.
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The USA has Medicare today because These Guys Failed Proposed a Public Plan Option instead of Medicare The country said no in 1962. Medicare enacted in 1965. Rep John Lindsay Sen Jacob Javits 1962 bills HR11253 and S2664 https://www.jacobinmag.com/2017/07/trumpcare-obamacare-repeal-public-option-single-payer
The Public Option The Merits The Public Option Challenges and Risks A potential pathway to universal coverage Adds one additional choice of insurer, not compulsory Applies the free market Easier political lift than Medicare for All Blurred with MFA Not universal coverage Misses many of MFA savings Easily subverted to non- public commercial insurance Insurers are skilled at undermining a public plan
A Best-Case Public Option Strongly Tied to Medicare Better than Medicare Today Starts Big and Grows Not contracted out Cover dentistry, hearing, optometry, pharmacy, full reproductive care Allow individuals, employers, and state Medicaid plans to opt in Uses Medicare s national networks Providers accept both or neither No copays or deductibles Auto-enroll uninsured (allow anyone to opt out) Payments based on Medicare s rates Premium subsidies for lower-income https://pnhp.org/2010/03/09/wheelbarrow-parable-part-2-2/ http://www.sharedprosperity.org/bp180.html https://www.jacobhacker.com/assets/3_hacker_public_plan_august_2009.pdf Accessed Sept 5 2020
A Best-Case Public Option Strongly Tied to Medicare Better than Medicare Today Starts Big and Grows If the public option continues to gain political traction, pay attention to how closely it matches these ideals https://pnhp.org/2010/03/09/wheelbarrow-parable-part-2-2/ http://www.sharedprosperity.org/bp180.html https://www.jacobhacker.com/assets/3_hacker_public_plan_august_2009.pdf Accessed Sept 5 2020
