Does it contain a robust one that the Progressive Caucus pledged a month or so ago that they would hold out their votes for?
Here's the Co-Chairman of the Progressive Caucus in September: http://blogs.abcnews.com/thenote/2009/10/key-house-liberal-no-public-option-no-deal.htmlOn ABCNews.com’s “Top Line", Rep. Raul Grijalva, the co-chair of the House Progressive Caucus, said he will join liberal colleagues in voting against any health care reform bill that doesn’t include a strong “public option” that would compete with private insurers.
“I venture to say that without a robust public option, a bill cannot get out of the House of Representatives,” said Grijalva, D-Ariz. “If that’s not in there, I can’t support it.”
and again: http://www.huffingtonpost.com/kathleen-wells/congressman-raul-grijalva_b_282965.htmlKathleen Wells: So, the pledge that you signed for a robust and strong public option?
Congressman Grijalva: It's active.
Kathleen Wells: It's active. You are still holding firm to that pledge?
Congressman Grijalva: I am and I think there's been some slippage; no question
.
Kathleen Wells: Can you be more specific when you say "slippage?"
Congressman Grijalva: There are some members that now say a trigger is not the death knell for a public plan. I disagree with that. But generally speaking, I think the Progressive Caucus has grown up and I think we are very committed to the fact that we have to have that.
Kathleen Wells: This trigger mechanism is off the table for you entirely?
Congressman Grijalva: Yes. It hasn't been defined, but the way it's been defined by others it is dependent on what the private insurance companies are doing. Do they satisfy the needs of the uninsured, working families and working poor and if they don't, then it will trigger a public option. Well, you know, if working off government subsidies, of course there is going to be an effort. If the gauge is going to be when the insurance companies self-certify themselves that they have passed this, that they can't meet the needs of the American people (which has already been proven and I don't know why we need another five years to find that out), then that would trigger the public plan. Well, that effectively says it won't happen.
That's my problem with the trigger, fundamentally, is that it is dependent on whether or not the private insurance companies do their job. So, you are delaying something for more than five years. You are actually delaying it for 10 years and waiting. And even if it were triggered at the end of 10 years, I think our system would be in such stress that a public plan would not have a chance to develop or get strong or to really compete with these companies.
Congressman Raul Grijalva, who voted for the bill, over the phone after last night's vote: http://www.kold.com/Global/story.asp?S=11464790 He said it was a humbling and overwhelming experience voting for such an historic bill.
Grijalva explained a couple of the highlights he says are in the bill. He told us there's no pre-existing condition denial, meaning if a person has a pre-existing condition they can't be denied services. He also said this bill will extend benefits to millions of American's who don't otherwise have an opportunity to receive health care coverage.
Representative Grijalva said, "It's not as strong as many of us wanted it, but it does provide for private insurances a competitive competition that will keep costs lower and make some of the premiums we see and some of the costs that we see from private insurance carriers are going to have to reduce their costs to compete with this public option."
and responding to the vote again here: http://www.azcentral.com/news/articles/2009/11/07/20091107azdeleghealth-ON.htmlRep. Raul Grijalva, D-Ariz., said he was unhappy the proposed government-run "public" health insurance option in the bill was watered down.
His preferred plan would have paid most health care providers the same rates as Medicare and would have required them to accept all public-plan patients if they also treated Medicare beneficiaries. Under the compromise bill, doctors and hospitals will be able to negotiate their rates and will not be forced to accept public-plan patients.
"I am disappointed that this bill does not include the robust public option I and so many others fought for," Grijalva said. "However, voting yes will move the issue forward."
Only two members of the Progressive Caucus stuck to their pledge . . . did what they promised just months ago.