Wednesday, September 30, 2009

The reform of the health insurance debate in the Senate

The Committee on Finance United States Senate opposed the introduction of a "public option" of creating a health insurance federal funds in reforming the health system. (Reuters)
The Committee on Finance U.S. Senate rejected Tuesday, September 29 the creation of a new public health insurance in competition with private insurance, which currently rely on the main system of health coverage in the United States. With this defeat for the left wing of the Democratic senators, Barack Obama can still hope for a bipartisan agreement in Congress on health reform. It in fact leaves open the possibility that at least one Republican ranks behind the reform, a key objective of the White House.

First decline

This "public option" is the measure that makes the most debate at the time that Congress is working on reforming the U.S. health care system which Barack Obama made his priority in domestic policy. The U.S. president had initially defended the measure, saying it would allow a healthy competition with the private sector before seem ready to give up to get the reform.

Race to benefit

The wing Progressive Democrats still argue that it is crucial to propose an alternative to private insurers refuse to acknowledge they regularly covers health in a race for profits. But Republicans and some moderate Democrats, are fiercely opposed. They warned they would not support a law with a public option they see as an overly intrusive and potentially dangerous state in the U.S. system. The senators have rejected the public option by 15 votes against eight. Five Democratic members of the committee, including its chairman Max Baucus, joined Tuesday the ten Republicans on the Finance Committee to reject the proposal.

Last chance

The vote suggests a rejection of this proposal in the Senate, but does not mean the end of the debate. The issue is far from being buried in the Senate and if both Houses adopt separate pieces of legislation, it could also return to the joint committees. The three texts being considered in the House of Representatives includes a "public option" and the chairman of the House Nancy Pelosi has promised that she would appear in the final text adopted by the Representatives.

The reign of private insurers

The United States is the only developed country in the world do not have with a public health system overall, leaving some 50 million Americans without health coverage. The U.S. government provides public health insurance only to poor families through Medicaid and the elderly through Medicare. But most Americans are turning to private insurers, usually through employers to be covered.

A controversial advertising

Before the debate, the Committee Chairman, Sen. Max Baucus, was already under fire for its position reserved if not openly hostile to the public option. Two progressive groups have decided to launch a hard-hitting advertising on television and the internet showing a young father in Montana. Facing the camera, Bing Perrine, 26, who needs a heart operation, and is without health insurance and heavily indebted, for launch of Max Baucus: "Which side are you?" The advertisement is sponsored by the groups Democracy for America and the Campaign Committee for progressive change, who think Baucus too close to lobbyists for insurers and health opposed to the public option. Tyler Matsdorf, an aide to Baucus, accuses the advertising to suggest that the Senator does not care about people like Bing Perrine. He explained that the parliamentary advocates a different approach, namely the establishment of cooperative nonprofit to compete with private insurers, who are also opposed to these cooperatives.

Hope for a compromise

Max Baucus hopes to pass his compromise proposal by the end of the week in committee by the end of the week. "My job is to draft a law that gets 60 votes" in the Senate

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