. . . why shouldn't states be able to 'opt-in' to a single payer system, like Rep. Kucinich advocated behind his 'no' vote?
Reid's (agreed to) proposal:"In the two weeks since the Senate majority leader, Harry Reid, embraced a proposal that would allow states to opt out of a new government health insurance plan, state leaders have begun debating whether to take part, and the question has emerged as a litmus test in some campaigns for governor.
The proposal, which is being woven into the Senate health care bill, would shift some power to the states and would foist upon state leaders the burden of a choice that, in some cases, could pit principle and politics against pragmatism. States would be given the right to opt out of only the public plan, not from the tax increases needed to subsidize coverage for the uninsured."
http://www.goupstate.com/article/20091111/ZNYT04/911113012/1106?&tc=autorefreshRep. Kucinich's proposal:“Although the amendment does not create a single payer health care system, it removes a major obstacle for any state that wishes to pursue the single payer option. This amendment builds on the momentum of the national movement for single payer health care,” said Kucinich.
“For years there has been a growing support for a fundamental change in the way we look at health care in this country. A single payer health care plan is the best and most tested way to provide health care for everyone while increasing quality and controlling costs,” added Kucinich.
The Kucinich amendment removes a legal obstacle to states that choose single payer plans. The Employee Retirement Income Security Act (ERISA) pre-empts legislating health care reform at a state level if the state efforts challenge employer-based health care plans.
read:
http://kucinich.house.gov/NEWS/DocumentSingle.aspx?DocumentID=138052