I’ve always thought it was a mistake to include calls for a “public option” in health care reform. I don’t mean the concept of a public option, but the name. The public has been easily mislead about what this actually means. Many even believe that it means they will have to pay for it out of their taxes, in addition to paying insurance premiums, when actually the public option will be financed by premiums from those who voluntarily choose it.
The public option is modeled after Medicare, which is an extremely popular program. Polls have shown that Medicare beneficiaries are more satisfied than those in employer-provided health plans. An irony of the health care debate is that Republicans have conned many seniors to protest against the government messing with their Medicare. Using the example of Medicare is helpful to debunk the conservative meme that government programs never work, with Medicare providing health care to beneficiaries more efficiently than the private insurance industry does.
The public option already does well in most polls. A Washington Post-ABC poll published Tuesday showed 57 percent of the public supports the public option while 40 percent oppose it. Still, it doesn’t hurt to improve popular support even further by stressing the similarity to Medicare. House Democrats are nowtalking of rebranding the program as Medicare E–Medicare for everyone.
This might simply amount to renaming the public option, but other ideas involving Medicare have been around for a long time. Many advocates of a single payer plan have argued that the simplest way to do this would be to go to Medicare for All. Expanding Medicare has often been a part of more conservative efforts at health care reform. As it is typically those approaching Medicare age who have the hardest time purchasing insurance on the individual market, one solution (short of comprehensive health care reform) might to be to allow people at age 50 or 55 buy into Medicare. A public option modeled after Medicare would provide the same benefits without the age restrictions.