Lanny Davis on the “Public Option”


Here’s Lanny Davis, the former Clinton team member and all-around Democratic good guy, on the subject of the “public option” crowding out private competition, and becoming a stalking horse for a single-payer system:

“I favor a public option – but the White House needs to explain better why, if public option is heavily subsidized by tax dollars, it won’t always have substantial competitive advantage over any private insurers, even those with very modest profit margins, and thus, will not result in a total federal government take-over — in effect, socialized medicine as in Canada, U.S., and the U.K.”

If I’m reading Davis correctly, he thinks there’s no problem with a public option that better communication (aka lying) can’t solve. That’s unless he honest-to-goodness believes that a public option won’t lead eventually to a single-payer system.

There’s a really stupid-simple question I have to ask. If there’s room in the market for another health-insurance vendor, then why haven’t capitalists and entrepreneurs stood up one or more new ones? By definition, that statement means that money is being left on the table. Nothing, but nothing, would prevent legitimate business people from rushing to fill that void. It’s like catnip.

Since it’s not happening, then obviously there’s no opportunity to do anything here, unless you have advantages that simply can’t be matched by the private sector.

Lefties, from Obama to Davis and downward, are deluded fools if they honestly think (as Obama has said many, many times) that private insurers are too expensive because their profits are too high. That simply isn’t how free exchange works.

“But you don’t get it, Francis, if the public insurer doesn’t have to make a profit, then his prices will be lower than the private insurers charge, by about 3%!” (That’s a typical aftertax margin for large health insurance companies, by my rough analysis.)

Ok, so if you don’t want to make a profit at all, then you have to find investors who are willing to provide risk capital at what is in effect a negative rate of interest. Or else you have to print your own money. Oh, wait, that’s the idea, isn’t it?

If there truly is a market need for another health insurance provider, that means that Barack Obama (an experienced and astute businessman) has discerned a market opportunity that everyone else missed. Those only come in two flavors: either there is a lack of vendor presence at some particular price point, or else the market is fully-served. The first case is usually addressed by changes in technology or product features, which are things the private market can easily do (and since they don’t, there’s ipso facto no opportunity).

The second case means that a new market entrant can only gain share by taking it away from the existing providers. So tell me again, Mr. Davis, how a public option will leave the private insurers in business.

Actually, I know exactly how it will happen. The existing private insurers will be forced to give up their current underwriting and capital-management activities, and forfeit them to the government. They’ll lobby Congress to retain their servicing and marketing operations, and will become regulated passthroughs to the public insurance pool. This will take away the objection (stated by Obama himself) that the government can’t even run a Post Office, let alone 17% of the economy.

And in return, the companies will make a fortune because all the risk will be gone from their businesses.

Hmm. Maybe I should think about buying stock in Cigna, Wellfleet, Aetna, United Healthgroup, et al.


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Obama says Public Option won't be subsidized

DamnCat Wednesday, August 12th at 3:43PM EST (link)

Yesterday at the N.H. dog & pony show Obama said:
================
And I do think that having a public option as part of that would keep the insurance companies honest, because if they’ve got a public plan out there that they’ve got to compete against, as long as it’s not being subsidized by taxpayers, then that will give you some sense of what — sort of a good bargain for what basic health care would be.
================

So either Lanny Davis has no idea what he is talking about or Obama is lying to us. I’m sure everyone will get the answer on the first guess.

They won't be subsidized like Fannie Mae isn't subsidized

Francis Cianfrocca (Diary) Wednesday, August 12th at 3:48PM EST (link)

They’ll just benefit from an essentially-zero cost of capital, just like Fannie and Freddie.

It’s a completely insurmountable competitive advantage (Fannie and Freddie have no meaningful competitors). But don’t call it a subsidy.

Until they start losing money, that is. Just as Fannie and Freddie did.

Also, Francis, don't forget zero liability from torts

civil truth (Diary) Wednesday, August 12th at 3:57PM EST (link)

Even assuming that the public option entity can be sued, the government will be the deep pockets, so that unlike their private competitiors, there will be no need for public options to divert capital to protect themselves against judgments. And we know how expensive medical judgments can be, not to mention legal expense incurred to defend against the lawsuit.

The greatest evil…is conceived and ordered (moved, seconded, carried, and minuted) in clean, carpeted, warmed, and well-lighted offices, by quiet men with white collars and cut fingernails and smooth-shaven cheeks who do not need to raise their voice. Hence, naturally enough, my symbol for Hell is something like the bureaucracy of a police state or the offices of a thoroughly nasty business concern. -C.S. Lewis

http://www.gmsplace.com/

maybe that's why Dingell said congress is too busy to address tort reform. nt

Common_Cents (Diary) Wednesday, August 12th at 4:00PM EST (link)

Obama=Golfer in Chief, Leading from, behind, the Back Nine.
Leaders don’t create movements. Movements create leaders. Get involved. Your future depends on it.
Govt “invests” YOUR tax money for POLITICAL return rather than economic return.

 

I have to say, I'm undecided about that one

Francis Cianfrocca (Diary) Wednesday, August 12th at 4:05PM EST (link)

Before I say this, let me stress that I’m a CEO, so to me, the plaintiff bar is a large parasite bleeding the economy dry, and I’d like nothing better than for them to all go to some other planet.

But what I often hear is that doctors and hospitals often order more diagnostic procedures than they really need, because of the presumptive need to defend against lawsuits.

But the doctors and hospitals get paid for all those extra MRIs and blood tests on a fee-per-service basis. Even without the pressure from malpractice claims, do you really think they’re going to give up those lush fees?

If you assume that the total earnings of plaintiff lawyers are a net tax on the healthcare system, first let’s get an authoritative estimate of the total size of that tax. (Transparency for trial lawyers? Not while Democrats control Congress.) If it turns out to be some really big number, like hundreds of billions a year, then we’ll have something to discuss.

Individual doctors and hospitals are not the competitors to the public option

civil truth (Diary) Wednesday, August 12th at 4:29PM EST (link)

It’s the insurance companies and HMOs and PPOs, etc. who end up footing the preemptive lab tests bills that physicians order (and thereby drive up their costs of operatioin), which would put them at a disadvantage to public entities who won’t face such pressures – and who in fact will likely enjoy immunity from “failure to promptly diagnose” suits (which are a high percentage of malpractice suits, vs. physician incompetence, I think) so long as they follow the government-mandated diagnostic protocols that will ration diagnostic testing.

Which is actually a second legal disadvantage that private entities will face. But what I was referring to above was lawsuits directly against the insurance entities (and HMOs and PPOs) themselves. I’m not sure of the magnitude, but these suits and the damages from them are another investment risk that public options will not face.

The greatest evil…is conceived and ordered (moved, seconded, carried, and minuted) in clean, carpeted, warmed, and well-lighted offices, by quiet men with white collars and cut fingernails and smooth-shaven cheeks who do not need to raise their voice. Hence, naturally enough, my symbol for Hell is something like the bureaucracy of a police state or the offices of a thoroughly nasty business concern. -C.S. Lewis

http://www.gmsplace.com/

 
 
 
 
 

Obama says Public Option won't be subsidized

DamnCat Wednesday, August 12th at 3:43PM EST (link)

Yesterday at the N.H. dog & pony show Obama said:
================
And I do think that having a public option as part of that would keep the insurance companies honest, because if they’ve got a public plan out there that they’ve got to compete against, as long as it’s not being subsidized by taxpayers, then that will give you some sense of what — sort of a good bargain for what basic health care would be.
================

So either Lanny Davis has no idea what he is talking about or Obama is lying to us. I’m sure everyone will get the answer on the first guess.

 

Lanny's not like he's on tv!!!!

illinois (Diary) Wednesday, August 12th at 3:47PM EST (link)

You start out by saying he’s a “Dem all around good guy” and I always thought so too——until last week or so when he was on O’Reilly—-and they were talking about us regular flyover folks being afraid. Lanny disagreed. So, I sent him an email and told him that many of us flyovers are very afraid since Obummer got in—and with all the radical changes. I was really surprised to get an email from our all around good guy Lanny——-but when I opened it—-I only read the first couple lines. Wow was he nasty. Something about how stupid pathetic & confused people like me are! His email was really aggressive——sort of like the tone of Hillary when she was asked about Bill…….. I should have posted it here so you all could decide yourselves about our buddy and all around good guy Dem Lanny!!

Yes...you should post it here...nt

Aaron Gardner (Diary) Wednesday, August 12th at 3:56PM EST (link)

conform and celebrate diversity….or else!!!

“We’d be much better off if We The People had desired small government enough to keep it.” acat


 

Please post it

cjbjulie Thursday, August 13th at 4:28PM EST (link)

Lanny Davis is more than obnoxious, he is just a vile partisan. I can’t stand to hear him whining on TV. If he sent you an email that was in poor taste, he should be exposed for who he is. O’Reilly, as well as Lanny Davis seemed to think the American people are not afraid, and I can tell you, we are ABSOLUTELY AFRAID of our new Marxist government!

 

Please post it

cjbjulie Thursday, August 13th at 4:28PM EST (link)

Lanny Davis is more than obnoxious, he is just a vile partisan. I can’t stand to hear him whining on TV. If he sent you an email that was in poor taste, he should be exposed for who he is. O’Reilly, as well as Lanny Davis seemed to think the American people are not afraid, and I can tell you, we are ABSOLUTELY AFRAID of our new Marxist government!

 
 

Lanny's not like he's on tv!!!!

illinois (Diary) Wednesday, August 12th at 3:47PM EST (link)

You start out by saying he’s a “Dem all around good guy” and I always thought so too——until last week or so when he was on O’Reilly—-and they were talking about us regular flyover folks being afraid. Lanny disagreed. So, I sent him an email and told him that many of us flyovers are very afraid since Obummer got in—and with all the radical changes. I was really surprised to get an email from our all around good guy Lanny——-but when I opened it—-I only read the first couple lines. Wow was he nasty. Something about how stupid pathetic & confused people like me are! His email was really aggressive——sort of like the tone of Hillary when she was asked about Bill…….. I should have posted it here so you all could decide yourselves about our buddy and all around good guy Dem Lanny!!

 

Yes, I suppose you could buy...

asleep06 (Diary) Wednesday, August 12th at 4:22PM EST (link)

Though it will be hard to figure out at exactly what point you should sell and flee the nation as it goes down the toilet.

Small is beautiful.

 

It doesn't matter

Menlo (Diary) Wednesday, August 12th at 5:00PM EST (link)

As far as I’m concerned, the individual mandate is just as bad as banning all insurance.

Even without a “public option,” such a requirement is the same thing as full-scale socialized medicine and may even be worse.

What frightens me most is that this requirement is the one thing there is the most agreement in Congress on.

“The ultimate touchstone of constitutionality is the Constitution itself and not what we have said about it.” -Felix Frankfurter

 

It doesn't matter

Menlo (Diary) Wednesday, August 12th at 5:00PM EST (link)

As far as I’m concerned, the individual mandate is just as bad as banning all insurance.

Even without a “public option,” such a requirement is the same thing as full-scale socialized medicine and may even be worse.

What frightens me most is that this requirement is the one thing there is the most agreement in Congress on.

“The ultimate touchstone of constitutionality is the Constitution itself and not what we have said about it.” -Felix Frankfurter