A new wrinkle in the health care negotiations in the Senate – in return for a climb-down on the public option, some Democrats are seeking different measures, like a buy-in to Medicare for ages under 65.
The proposal would lower the age of eligibility for Medicare from 65 to 55, though an age limit of 60 has also been suggested. Crucial details — such as the timing of the implementation of such a reform — were not provided due to the sensitivity and ongoing nature of the deliberations. A high-ranking Democratic source off the Hill confirmed that such discussions are taking place.
Lowering the floor for Medicare is one of several ideas being discussed as a way to pacify progressives upset over the potential elimination of a public option for insurance coverage, one of the sources added. Senate Democrats held discussions this past weekend about replacing Senate Majority Leader Harry Reid’s version of a public plan with one that would be non-profit-based. The alternative proposal would be offered in state exchanges, run by private insurers but monitored by the Office of Personnel Management.
“The Office Personal Management proposal that has been out there for the past couple days is one of the leading ideas to represent the public option in a modified bill. But there are a series of things that progressives are negotiating in exchange for dropping the [public option] opt-out,” said the source.
There’s a lot of interest here. First, it must be made clear that, just because something’s being talked about doesn’t mean it will happen. The negotiations appear to be returning to the overall usefulness of the bill rather than what compromised compromise on the public option ConservaDems would accept, but I have a hard time believing they would accept an expansion of programs like Medicare or Medicaid (taking it to 150% of the poverty level, in line with the House bill, has also reportedly been discussed) when they’ve spent weeks warning against government-run health care. If Blanche Lincoln or Joe Lieberman don’t want to see a march to single payer, why would they allow for buy-ins to Medicare, the single easiest way to get to single payer?
The one reason that ConservaDems may accept it is that these moves actually save money. It’s cheaper to expand Medicaid than to pay the subsidies between 133-150% for people to purchase insurance. It’s cheaper to allow people to buy into Medicare than what you would pay in subsidies. That’s mainly because of the rate schedule and the lower price for Medicare. What’s more, Republicans in particular have spent a week falling all over each other trying to “save Medicare,” and watching them caution against buy-in would be most amusing to watch.
The money saved from these public coverage expansions could be plowed into higher subsidies, which are needed under the Senate bill. But that’s all anyone age 27-55 would get out of this – they would be left basically with a forced mandate to buy private insurance.
Where does this all leave the public option? In a van down by the river is where. The idea here is to basically offer something like Medicare buy-in or Medicaid expansion or bigger subsidies or a tightening of the medical loss ratio for insurers (what percentage of premiums must go to medical care) in exchange for basically dropping or triggering the public option. Will that be acceptable? Private insurance companies would still predominate, and Americans would still be forced under this bill to send them premium money for coverage that may or may not be sufficient. Most importantly, the architecture of a public option, as a benchmark which could be improved upon to change incentives for insurers, could be gone.
By contrast, there’s an argument that Medicare buy-ins could be pushed downward, Medicaid and age limits for staying as a dependent on plans pushed upward, until they met in the middle, and basically everyone was covered. As this argument goes, the architecture still exists, just in a different form.
I’m not sure I agree. But one thing is clear – nobody has agreed to anything. There’s no use debating the wisdom of this measure until someone like Joe Lieberman or Olympia Snowe comes out and says they’d vote for a bill with this in it. On the opt-out, we saw all this activist attention paid to it, without any ConservaDem agreeing to it, making it useless.
I’m less interested in chasing this trial balloon until some conservative validator goes ahead and endorses it.



9 Comments


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Medicaid expansion should be a non-starter. We already have it to 150%FPL in the House bill and the Senate bill has the Basic Health Plan. Increasing Medicaid eligibility is not worth it.
A Medicare buy-in could be good but it will be difficult to price so that it isn’t prohibitively expensive for individuals on the one hand, and doesn’t attract too many high risk individuals on the other hand.
Like you said, we need to see if so-called centrists are interested, and then see the actual legislative language.
medicare to 55 is a good starter with a funding program for sustaining medicare by eliminating the cap on medicare taxes.
let those who benefitted MOST from Bushco, give back.
it is time.
and put the war on pay go.
good point about the basic health plan.
Now, I’m thrilled that another group of people would get to buy into Medicare. But obviously that does nothing to solve the main problem of reforming the health care industry. And despite the fact that some have argued that it would “strengthen” Medicare, I have to believe that the uninsured 55-65 year olds who would jump into this program would be significantly less healthy than average for that age group.
This, combined with expanding Medicaid to where it already is in the House would give mediocre insurance to the extremely poor and great insurance to a particularly vulnerable group, but would squeeze everyone else in the middle class. Not to mention that any huge expansion in Medicaid is just an even larger unfunded mandate on the states (this bill dumps those people onto the state budgets in 2017). So it’ll break the backs of state budgets and drive up local taxes on the middle class again!
…that the uninsured 55-65 year olds who would jump into this program would be significantly less healthy than average for that age group.
or unemployed. there are many many of us.
it would also allow many to retire and open jobs for younger folks.
Well yes, unemployed 55-65 year olds would also be eligible – though I question whether they could afford the relatively expensive buy-in. Most people in that age group (which are the highest earners) will continue to be covered by private employers. I’d be surprised to see a huge surge in retirements with this economy and the damage done to the average American’s savings and home equity, but certainly it’d make a very marginal difference.
And again, unemployed 55 year olds may not be able to afford this buy-in at the rates they’re discussing, so would likely be foisted onto the sub-par Medicaid expansion they’re discussing. I’d prefer having a broader program than Medicaid, because I think we have enough experience with the fact that programs that help *only* poor people usually end up underfunded over time. It would be best if there was a public option open to everyone who otherwise couldn’t afford private insurance. But that ship seems to be sinking…
argh. banging head on keyboard.
because it’s not the easiest way to get to single payer. it’s the easiest way to further undermine the single payer system we do have in medicare.
if medicare is going to be extended down to age 55, it has to be for everyone (and at least primarily paid for via taxes — not premiums). that’s what makes it single payer and that’s how we avoid the traps of adverse selection, weak regulation and excessive administrative costs.
Exactly selise,
There will be huge adverse selection in this targeted expansion of Medicare from 65 to 55. I don’t see how it would “strengthen” Medicare, unless they have Aetna running the 55-65 division for them and finding ways to cheat people (which wouldn’t happen, of course).
I also think Medicare shouldn’t be described as “single payer”, when really it’s an entitlement program that could never be the “single payer” in the insurance market. That’s the point of single-payer: to have one insurance company that doesn’t have to worry about administration, adverse selection, marketing, etc. etc. Anytime you have a program with less than universal coverage it’s by definition not “single payer”, anymore than an Aetna health insurance plan could be a single payer program. Medicare is just government insurance for older Americans, not single payer (not until everyone is automatically enrolled).
Couple of things, perhaps covered by others:
* the 55 being tossed out will be pushed towards 60 by ConservaDems
Again we’re not negotiating wisely. Toss out 50 when you really want 55.
* Big Insurance will LOVE this
While they worry about the expansion towards Single Payer For All, think for a second what this does. It allows those older, less healthy, more expensive people from 55-65 to shift over The Government Dole while Big Insurance gets a whole new monopoly on younger, healthier 27-55 year old… who have a *mandate* to buy insurance. Those people will have no option to shop around other than who is controlling their local market.
Pharma, Doctors and Hospitals may not like it at the moment, but they also know that they’ll have someone paying their bills (Uncle Sam) which is a lot better as the rest of the country slides literally towards private and individual bankruptcy. They’ll figure out a way to make it profitable, and fit like hell the coming wave of fixing Medicare Overpayment.
In the end, where is the funding going to come from for 55-65 year olds who don’t have insurance from their companies? Subsidies will cover a large chunk of it, and again these are more expensive individuals than the 27-55 years old.
I’m a single payer fan, so I’ve not been happy with the entire process. Looking at this, there are some positives because this is good for people like Jane who are hitting that boom wave. I do think we need to be jaded: Big Health is an expert in making this things profitable while sucking the marrow out of the bones of the country. They will look to turn this towards them. In the other direction, it is hanging the 27-55 year olds out to dry.
Someone might want to slow down and think about this:
What is the age range of the GOP Base?
What is it for the Dems?
Depite the fact that the Dems invented Medicare, passed it over GOP obstruction, and have defended it against GOP attacked for *40+* years, do those Old Folk think the Dems are protecting their Medicare… of the GOP?
Is this getting Dem votes?
Or potentially creating a donut hole right in the middle of their base?
I dont’ think they’re thinking this through, to quite Christopher Walken in The Suicide Kings.
This could be a good thumbs up for 55-65 in need. Could… but there’s more to it than that. Especially when we know the cast of characters involved.
John