Where the delegation stands on health care reform

Posted at 9:00 PM on October 22, 2009 by Tom Scheck (1 Comments)

MPR News asked the ten members of Minnesota's Congressional delegation where they stand on the health care proposals currently moving through Congress. Specifically, we wanted to know if the candidates supported the public option and the health care Co-op. Here's what we found:

DFL Sen. Amy Klobuchar (in a written statement):
"I want to see more competition in the insurance market, and I believe one way to achieve that is with a public option, but I want to make sure that any public option plan goes hand-in-hand with significant Medicare cost reform. I have been working hard for that cost reform in the Senate bill. I think co-ops should be considered, but am concerned they may not have enough leverage to drive down costs."

DFL Sen. Al Franken is a strong supporter of the public option. His spokeswoman said Franken "has some serious concern about how the co-ops will build the critical mass of beneficiaries needed to be effective. However, we are open to all options that will create competition in the health insurance market. Basically, at this point, we don't have enough detail to make a definitive decision."

DFL Rep. Tim Walz says he's more inclined to support the public option now that it fixes the geographic disparities in Medicare. Listen to his comment on the public option from this afternoon's conference call: Listen

A spokeswoman for Walz also said Walz "finds the idea of co-ops an intriguing idea, especially since they've succeeded in Minnesota with organizations like HealthPartners. If it helps provide competition and lower costs, it should be a part of the mix."

GOP Rep. John Kline (through a spokesman):
1. Public option: A public "option" for health insurance essentially enables the federal government to make the rules, play the game, and act as a referee. In sharp contrast to the claims of the proposal's authors that a public option would improve access and drive down costs, a June 2009 study put forth by the independent consulting company, the Lewin Group, found that a government plan based on Medicare-level reimbursement rates, would result in almost 114 million Americans losing their current private insurance coverage. More recently, an analysis released by the President's own Department of Health and Human Services this week concludes that our nation's health care spending would increase by 2.1 percent in the next 10 years under the Democrat House proposal.

2. Health co-ops: Mr. Kline has been a longtime supporter of Association Health Plans, a proposal to allow small businesses and other associations to join together to get health insurance at lower rates - the same way large businesses and labor unions do today - and there are some similarities between Association Health Plans and co-ops. However, the co-op proposal being considered in the Senate includes $6 billion in taxpayer funding and layers of federal red tape. Government control over a co-op is no better than government control over other types of health care plans. Moreover, the Congressional Budget Office has cautioned that the co-op proposal under debate will do little to drive down costs. Simply put, from what we've seen so far, there is no guarantee co-ops will be able to provide small businesses and individuals across the country the flexibility they need to secure affordable health care coverage, which Mr. Kline believes is a primary goal of health care reform.

GOP Rep. Erik Paulsen (through a spokesman):
"Congressman Paulsen opposes the government-run public option. He has concerns with the cooperative proposal, including the massive up-front investment of taxpayer dollars as well as the potential losses taxpayers could face if the cooperatives fail to be self-sufficient."

DFL Rep. Betty McCollum said she now supports the public option now that the geographic disparities in Medicare have been fixed. She said she doesn't know the specifics about the health Co-op proposed in the Senate Finance bill and isn't willing to comment on the plan. Listen to my brief interview with McCollum here: Listen

DFL Rep. Keith Ellison has been a strong supporter of the public option. His spokesman didn't get back to me on whether he supports the Co-op.

GOP Rep. Michele Bachmann (through a spokesman) does not support the public option or the Co-op language that's included in Senate Finance bill.

DFL Rep. Collin Peterson reportedly does not support the public option and is undecided on the health care cooperative idea that's included in the Senate Finance bill. Peterson's office did not respond to my request.

DFL Rep. Jim Oberstar is a strong supporter of the public option. His spokesman said Oberstar would vote for the Co-op idea if the public option isn't available and the Co-op ensures that more people will receive health coverage than the current system.

Comments (1)

Would Mr. Kline also advise that studies have been made that the Earth Is Flat ?

That was true at one time, but that concept has been updated ... and no reasonable person would still be framing an answer to a question by citing old June 2009 studies without recognizing that even the authors acknowledge that it was misinterpreted.

MinnPost's Cynnia Disikes Evaluated the Lewin assertion and made a number of pertinent points.

#1. The 114 million claim is based on what Lewin Vice President John Sheils calls an "extreme case".

#2. This was based an early proposal and based on changes made the number would be lower. Evaluating those changes, "John Sheils, vice president of the Lewin Group and one of the authors of the study, predicted that only 10 million to 12 million people would end up switching from a previously held private plan to the public plan option."

#3. With various proposals still evolving, the numbers will change.

Regarding the 2 percent health care cost increase that Mr. Kline mentions, the obvious question is what would Mr. Kline think the increase would be if nothing is done ? ... Historically it has been a lot more ... in fact, David Frum recently pointed out that all the wage increases that employees saw during the Bush years were absorbed in health care cost increases.

Posted by Minnesota Central | October 23, 2009 7:16 AM

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