Democrats Reintroduce Public Option Plan for Health Care
Two Democratic senators on Wednesday reintroduced a plan for creating a public option for health care in the U.S.
Sens. Michael Bennet of Colorado and Tim Kaine of Virginia propose to create a government-operated health care plan that would compete with privately run plans sold through the federal insurance marketplaces.
Kaine said he would push to advance the proposal, called the Medicare-X Choice Act, through the reconciliation process, which would allow Democrats to pass the bill with a simple majority of votes in the Senate. Assuming no Republicans support the legislation, reconciliation would require all 50 Democratic senators to get behind the bill, which its backers say is a real possibility, given that it is close to what President Biden ran on last fall.
"I think we are in the spot where Joe Biden was during the campaign, and that suggests to me that this could be a consensus position for Democrats going forward," Bennet told reporters.
What the plan would do: The proposed public option would work much like Medicare, with added features to account for a younger population, according to The Hill’s Jessie Hellmann. Providers currently in the Medicare network would be required to participate, and at similar reimbursement rates, though doctors and hospitals in rural areas could see upward adjustments of up to 150%. There would be no co-pays or deductibles for patients.
The public option would be rolled out over a period of years, first in rural areas that have had trouble attracting coverage in the ACA marketplaces before going nationwide by 2025. Like Obamacare, the plan would operate with federal subsidies to help people afford the insurance. Families earning less than 150% of the poverty level would pay no premiums.
The Bennet-Kaine proposal would also allow the government to negotiate the prices of drugs — a key provision that experts say could play an important role in driving down costs throughout the health care system.
5 Policy Takeaways From Biden’s Milwaukee Town Hall
President Biden made news on a number of fronts at his Tuesday night CNN town hall in Milwaukee. Here’s a quick recap.
A goal for vaccinations, and some normality: Biden said that by the end of July we’ll have more than 600 million doses of Covid-19 vaccine available, "enough to vaccinate every single American." That echoes comments made last week, when Biden announced deals to buy another 100 million doses each of the Pfizer and Moderna vaccines, a 50% boost to supply. Even with those deals, though, Biden warned last week that "gigantic" logistical issues meant that many Americans likely won’t be vaccinated by the end of the summer. At Tuesday’s town hall, he said that he didn’t want to overpromise, but expected that "by next Christmas, I think we’ll be in a very different circumstance, God willing, than we are today."
A benchmark for his $1.9 trillion Covid relief plan: Biden said that there’s an "overwhelming consensus" among economists of all political stripes that a large relief plan is the right way to go. "In order to grow the economy a year or two, three, and four down the line, we can’t spend too much," he said. "Now is the time we should be spending. Now is the time to go big." He also said that economists estimate that if his plan passes, the U.S. will create 7 million jobs this year.
Biden may be overstating the consensus a bit, but with Democrats likely to pass the relief package within weeks, expect that 7 million jobs figure to be used as a political measuring stick as people judge the legislation’s success or failure.
A hard no on $50,000 in student loan forgiveness: Senate Majority Leader Chuck Schumer (D-NY) and progressive Democrats are pushing the Biden administration to cancel up to $50,000 of federal student loan debt per borrower by executive action. Asked by a town hall audience member what he will do to forgive at least $50,000 of student debt, Biden forcefully shot down the idea. "I will not make that happen," he said.
Biden explained that, while he understands that student debt can be debilitating and he’s prepared to cancel up to $10,000 per borrower, he doesn’t believe he has the authority to wipe out $50,000 by executive action.
Schumer and Sen. Elizabeth Warren (D-MA) responded Wednesday by urging Biden to press ahead. "Presidents Obama and Trump used their executive authority to cancel student loan debt. The Biden administration has said it is reviewing options for cancelling up to $50,000 in student debt by executive action, and we are confident they will agree with the standards Obama and Trump used as well as leading legal experts who have concluded that the administration has broad authority to immediately deliver much-needed relief to millions of Americans," they said in a joint statement.
On plans for school reopenings: Biden said his goal is to open the majority of K-8 schools by the end of his first 100 days in the White House — and by "open," he said, the goal would be for five days a week in person. White House Press Secretary Jen Psaki said last week that the administration’s goal was to have most schools open at least one day a week in person. Biden called that "a mistake in the communication."
Defending a $15 minimum wage, but open to negotiations: In response to an audience member’s question about small business concerns over the cost of a higher minimum wage, Biden emphasized that his proposed increase from $7.25 to $15 an hour would be gradual, and that phasing in wage increases would lessen the effect on business owners. He also disputed a recent Congressional Budget Office estimate that a $15 minimum wage would cost 1.4 million jobs, even as it would lift 900,000 people out of poverty.
"I think there is equally as much, if not more, evidence to dictate that it would grow the economy and, long run and medium run, benefit small businesses as well as large businesses, and it would not have such a dilatory effect," Biden said. "But that’s a debatable issue."
It’s not clear yet whether the $15 proposal will be included in the final version of the relief package being crafted by Congress. Psaki said Wednesday that the $15 minimum wage is important to Biden, but that it will be up to lawmakers to determine what the legislation looks like.
Republican Sens. Mitt Romney of Utah and Tom Cotton of Arkansas plan to introduce their own minimum wage legislation. "Our proposal gradually raises the minimum wage without costing jobs, setting it to increase automatically with inflation, and requires employers to verify the legal status of workers," Romney tweeted Tuesday.
Covid Drives a $24 Trillion Surge in Global Debt
Global debt has risen by $24 trillion in the last year, driven largely by the response to the Covid-19 pandemic, the Institute of International Finance announced Wednesday.
With global debt now totaling a record $281 trillion, the ratio of debt to global GDP has risen 35 points to 355%, according to the group’s calculations. The increase in debt load is larger than the jump seen during the Great Recession.
Government spending accounts for about half of the increase. Corporations added $5.4 trillion to the total, while banks added $3.9 trillion and households added $2.6 trillion.
The debt bonanza is expected to continue. "We expect global government debt to increase by another $10 trillion this year and surpass $92 trillion," the IIF said, while warning that it could be difficult to cut back: "Political and social pressure could limit governments’ efforts to reduce deficits and debt, jeopardizing their ability to cope with future crises. This could also constrain policy responses to mitigate the adverse impacts of climate change and natural capital loss."
Number of the Day: 3.3 Million
With the pace of vaccinations picking up around the country, we could see 3.3 million doses per day by March 31, up from the current 1.7 million per day, according to an analysis from the Kaiser Family Foundation.
"To date, just over 70 million doses have been delivered to states," KFF’s Jennifer Kates and Larry Levitt wrote Wednesday. "This leaves close to 150 million doses still to be delivered by the end of March, which translates into about 3.3 million doses, on average, per day between now and then, or almost double the recent pace of daily vaccinations."
- Four Reasons the States Need Pandemic Aid – Michael R. Strain, Bloomberg
- Should IRS or Social Security Administer a Monthly Child Benefit? – Elaine Maag, Tax Policy Center
The COVID-19 Relief Bill Is Also an Obamacare Expansion Bill – Dylan Scott, Vox
- Why Biden Has a Chance to Cut Deals With Red State Holdouts on Medicaid – Noam N. Levey, Kaiser Health News
- Quick Fixes? What Biden Can Do to Improve Health Care System Now – Wendy Netter Epstein, The Hill
- What to Expect During the COVID Marketplace Enrollment Period – Karen Pollitz and Krutika Amin, Kaiser Family Foundation
- COVID Relief Bill Losing Focus as Details Emerge – Committee for a Responsible Federal Budget
- A Dismal Spring Awaits Unless We Slow the Spread of Covid-19 – Ezekiel J. Emanuel et al, New York Times
- As the Biden Administration Begins Unwinding Them, Medicaid Work Experiments Remain Unreasonable, Unnecessary, and Harmful – Erin Brantley et al, Health Affairs
- Stop Worrying About Inflation – David Beckworth and Ramesh Ponnuru, New York Times
- Biden’s $15 Wage Proposal: Job Killer or a Boon for Workers? – Paul Wiseman, Associated Press
- Universal Basic Income Could Be Coming for Kids – Greg Ip, Wall Street Journal
- Have Stimulus, Will Spend – Sarah Halzack, Bloomberg
America’s Pharmacies Can Do a Lot More Vaccinations – Scott Duke Kominers and Alex Tabarrok, Bloomberg
The One-Two Punch to Knock Out High Drug Prices – Stephen Salant and Gabriel Levitt, The Hill
- Europe’s Pandemic Debt Is Dizzying. Who Will Pay? – Liz Alderman, New York Times