Speaking about single payer.
Edited to add, with Democrats like Baucus spearheading health
care insurance reform, who needs Republicans?
From: Day 2 - February 3rd, 2009 at the 2009 National Health Policy Conference 2/2/2009
Academy Health and Health Affairs - Washington, DC
Baucus: "...this is not the
time to push for single payer. It may come later. It’s not
going to happen in America in my view. So I’m not going to
waste my time pushing on something that isn’t going to happen."
~snip~
MALE SPEAKER #1: Yes. Senator, I’m sure that I join,
with everyone in this room and perhaps everyone in America in
congratulating you on recognizing and enunciating that
fundamental health care is a government responsibility and a
duty of our system to provide.
I know that in the Helena Independent Record, you were
quoted as saying that single payer health care is off the
table. I’d like to know your reasons for putting single payer
health care off the table and intending instead to mandatory
insurance purchase by Americans, which is an inefficient way of
guaranteeing health care to everyone.
REP. SENATOR BAUCUS (D-MONT.): Well I just have to make
a judgment. I think, at this time in this country, single payer
is not going to get even to first base in the Congress. I do
believe we should have universal coverage. There are ways to
get universal coverage. The inefficiencies, which you allude
to, I think can be addressed as well in various ways. What are
they? One is through delivery system reform. We could cut down
a lot of costs and dramatically improve quality.
Another is through, at least in a single individual
market as opposed to small group markets, first, significant
health insurance reform so you get rid of pre-existing
conditions and other ways in which insurance companies
discriminate, certainly in individual market. That’s all part
of our plan here. You talk to larger insurance companies; many
large insurance companies’ CEOs are on board. They want to
change their business model. They see it coming.
The business model of change from the current one where
they can discriminate to one where there are 46 million people
getting health insurance. So as they pick it up on volume, they
may lose in the current model.
We are a big country. We’re a battleship. We’re an
ocean liner. We’re not a PT boat. We’re not a speedboat. It
takes time to turn those big, big ships. You just can just turn
them overnight. The United States of America, we’re a different
country. We’re constituted differently than European countries
than Canada and other countries. We’re a younger country.
There’s more of an entrepreneurial sense in America than those
other countries. It’s kind of go west young man in America and
so forth. So we’ve got to come up with our uniquely American
result. A uniquely American result will be a combination of
public and private insurance but one which everyone is covered
and just my judgment and every member of Congress agrees with
me I think at least those I've spoken with that this is not the
time to push for single payer. It may come later. It’s not
going to happen in America in my view. So I’m not going to
waste my time pushing on something that isn’t going to happen.
MALE SPEAKER #1: Thank you for your candor.
From: Day 2 - February 3rd, 2009 at the 2009 National Health Policy Conference 2/2/2009
Academy Health and Health Affairs - Washington, DC
Full Video and transcripts here:
http://www.kaisernetwork.org/health_cast/hcast_index.cfm?display=detail&hc=3108On a related note, this Kos diary offers a clip of Baucus (from this same presentation) discussing why the insurance companies will like his plan:
Flashback: Baucus on why his plan is popular with insurance CEOs Hotlist
Sen. Max Baucus (D-MT) in DC on February 3, 2009, explaining that insurance CEOs like his health care plan because Americans would be required to buy their product:
video clip at link
You talk to large insurance companies, many large insurance companies' CEOs are on board. They want to change their business model. They see it coming. The business model will change from the current one where they can discriminate, to one where there are, you know, 46 more million people getting health insurance, so it's they pick it up in volume, what they lose in the current model.
Basically, Baucus is saying that health insurance companies like his reform plan because they think it will make them a lot more money.
~snip~
http://www.dailykos.com/story/2009/8/19/768932/-Flashback:-Baucus-on-why-his-plan-is-popular-with-insurance-CEOs