Should a public health insurance plan be offered as part of national health care reform legislation?
The House and Senate health care reform bills each are around 2,000 pages long. The public health insurance option fills less than 15 pages in each bill, but is making headlines and stirring heated debate between Democrats and Republicans, and among Democrats in both chambers.
In both the House and Senate versions, the so-called "public option" is a proposed health insurance plan offered by the U.S. federal government. The idea is that if a government-run option were offered to compete with private insurers, it could help keep costs in check and ensure quality. It would compete with similar private insurance plans in a newly-created Health Insurance Exchange or marketplace, from which individuals, families and small businesses could buy health insurance that meets a minimum federal standard. Those covered by other employer plans or state insurance plans such as Medicare would not be eligible for coverage from the exchange and could not obtain this form of federal health insurance. The federal government's health insurance plan would be financed by premiums with no subsidy from the government. The Senate version would allow states to opt out of the federal program.
Should a public health insurance plan be offered as part of national health care reform legislation?
Resources:
The Kaiser Family Foundation's Side-By-Side Comparison of Major Health Care Reform Proposals
Pro-Publica's ongoing coverage
Forum with Michael Krasny: Senate Committee Passes Health Care Bill (Oct. 14, 2009)
The California Report: The Future of Insurance Age Rating (Oct. 27, 2009)