Two things in the battletide of health care reform. Notice I'm so non plused I'm not even bothering to capitalize 'Health Care Reform' any longer? Yeah. Me too. Because ultimately I believe the "public option" is narrowing down to equate to "expansion of Medicare/Medicaid" and it WILL happen, if not by majority vote, cloture or any other damn thing then by executive order if need be. Obama wants to grow a huge honking pair, he'd do it that way. Take responsibility for it all and when it is properly run and regulated and profitable, tell ALL the wingnuts to just go fuck themselves. Forever.
But I digress. Here's Wyden insisting there be a public option in the final bill, and here's old 'Independent' Joe putting on the squeeze play. Why the squeeze play? Because the only way it seems able to get through now is if there's an "opt-out" clause on a state by state basis. States rights. Still the possibility exists that the triggers may either be set too high and that having triggers in the first place PLUS insistence upon voiding the private insurers anti-trust exemption could possibly trigger the regionalization of medicine and medical treatment in America. In other words make it more hard to get competent, qualified medical care AND increase the travel cost! Brilliant! We already have that in Alaska so perhaps it won't effect us all that much.
So, yeah -- NO. Yes to the public option. Yes to the expansion of M/M. NO to any sort of trigger. It's part of the Medicare/Medicaid package, we're reforming and expanding the system to cover the uninsured, either you're in or you are out at the state level. Are any states presently NOT enrolled in both? End of story. Eureka. You have found the pot o' gold. You have freed the dragon. Public Option. Now move along.
Eventually and as stated I expect it will all be part of M/M so "no big whup..." THEN yes, reform of M/M is a must and please pass the anti-trust hammer. It's clobberin' time!