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Can Health Insurers Whine Louder Than Bankers?

by: Dean Baker, t r u t h o u t | Perspective

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Nurses and activists in Los Angeles protest proposed bailouts for private insurance companies. (Photo: Getty Images)

    The Wall Street bankers have impressed the world with their ability to take or borrow trillions of taxpayer dollars and then complain about excessive government intervention into their business. This display of audacity is extraordinary even by the standards of US politics. However, the health insurance industry is gearing to give the bankers a serious contest for top spot as the biggest whiners on the national stage.

    At the moment, they share a common complaint over the Democrats' plan to leave open the possibility of including student loan and health care reform measures in a budget reconciliation bill. The Democrats are pursuing this maneuver to allow them to pass these measures with a simple majority of both houses of Congress instead of the 60 votes in the Senate needed to overcome a filibuster.

    While President Obama and the Democratic Congressional leadership have indicated a desire to negotiate bills that garner Republican support, they are reserving the option to move forward even if the Republicans take a stance of solid opposition, as they have done repeatedly this year. Contrary to the claims of the bankers and the insurers, there is no fundamental principle at stake in this move; the Republicans pursued the same parliamentary procedure to pass President Bush's tax cuts.

    Of course, there is real money at stake in both cases. For decades, the banking industry has been making billions of dollars issuing government guaranteed student loans. This was a sweet deal for the banks because they got to keep the fees they earned issuing the loans, while the government took all the risk in the event that the loans went bad.

    In effect, the current system is government guaranteed profits for private banks: a perfect "free market" in the Wall Street lexicon. President Obama wants to eliminate the extra expense from bringing in private banks and in the process will save students $90 billion in fees over the next decade.

    Remarkably, the banks have responded to the prospect of losing their subsidized loan business by claiming that it will lead to job loss in banking. That is what happens when you eliminate waste in the private sector, just as eliminating waste in the public sector often means laying off unnecessary workers. In principle, the economy should be able to find productive employment for these workers elsewhere, rather than having their salaries needlessly drive up the cost of student loans.

    Of course, the waste with health care is a much bigger problem. The most pressing immediate issue is the creation of a public sector plan, similar to Medicare, which would be open to everyone who wants to buy in.

    The insurance industry has taken a creative tack to this prospect. They have argued that a public plan would put them out of business because everyone would want to buy into it. This is rather novel because it implies that the insurers don't think they can compete successfully with the government.

    They have some evidence for this view. Private insurers have long had the opportunity to operate within the Medicare system and compete with the traditional government-run program. The overwhelming majority of beneficiaries have always opted for the government program.

    This is why the insurers insisted on a system of subsidies in the Medicare Advantage program that was put in place in 2003. Under this system, the government pays a subsidy of more than 11 percent to private insurers for the people who sign up for their plans, costing the government close to $10 billion a year.

    Apparently, the private insurers don't feel they would fare any better on a level playing field in the market for insurance more generally than they have in Medicare. Hence, they are arguing against allowing the government-run plan because it would put them out of business.

    This is extraordinary. In the old days, we used to think that private businesses could provide many goods and services more efficiently than the government. Now, the insurers are complaining that because the government can provide health insurance more efficiently, they should not be forced to compete with a government plan. That ranks pretty high in the chutzpah category.

    The bankers may have a lead at the moment with the hundreds of billions of taxpayer dollars that they have already pocketed, but the health insurers clearly intend to give them serious competition. The race for whiner of the year in 2009 is far from over.

  

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Dean Baker is the Co-director of the Center for Economic and Policy Research. CEPR's Jobs Byte is published each month upon release of the Bureau of Labor Statistics' employment report.

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I love the title of this

I love the title of this article! It's about time the health insurance industry is put to the test, and hopefully it will lose.

it seems to me that the

it seems to me that the quickest way to reform health care would be to simply let the government take over the role now played by employers. the employers don't want it. they could put the money they now pay for employee insurance into a government Trust Fund (just like Social Security). companies that do not pay health care would be invited to contribute to that Trust Fund at a similar rate. the government would design a basic plan and invite the insurance companies to bid to handle the day to day. just like now, only with the government across the table, big enough to assign insurees to blocks, without regard to prior conditions, and big enough to oversee the contracts to look for ways to save money... and of course the insurance companies would have all those free market competition incentives to look for ways to save money themselves.

No one should be forced into

No one should be forced into a government health insurance plan-BUT neither should insurance companies get a subsidy for Medicare Advantage. Incredible... Freedom of choice is the key here. No crap from either the insurers or the "mandatory single-payer" folks.

Can Republicans whine louder

Can Republicans whine louder than health insurers and bankers?

We're finding out that banks

We're finding out that banks and insurance companies can't get by without government help. They preach free markets but the practice state socialism. They demand government help when they fail and when they succeed they want all the profits. In a phrase they socialize the losses and privatize the gains. As, taxpayers, we lose any way you look at it. How stupid can we be the put up with this? We're like abused wives who will put up with endless crap from callous and abusive husbands.

More "can't be allowed to

More "can't be allowed to fail" institutions? If these businesses get the government's money, they are either going to belong to the government or the government is going to belong to them. (I suspect it already does)

An SSI recipient, forcibly

An SSI recipient, forcibly shocked in Minnesota, may be relieved of the torture because the shock doctor's liability carrier threatened to drop him. Social Security didn't stop the shock. Why would they care about the potential liability? The taxpayers' pockets are a black hole, yes? Some see risk in allowing the federal government, of Fannie, Freddie, FDA, CIA, FBI, DEA fame, of having absolute control over medical care. It might be better to have one plan with evidence-based practices like acupuncture covered, and another plan, with medications off-label for doctors and patients who want to play let's try this and see what happens. If monopolies, oligarchies, and too-big to fail are bad, why would we force people into that for health care? I can see it working for people who want to get paid for things like shocking people, but why would consumers want this?

Is capitalism a fraud? More

Is capitalism a fraud? More and more I notice that people who did well in the last 30-some years got most of their "capital" from our (public) taxes (military, military, military) than from other sources of cash. I conclude that we need to go to "socialism" which is the same thing, except that the looting of public funds is distributed much more evenly, thereby benefiting society as a whole. Globalization? A scheme to enact my first scenario on a global scale. To our detriment.

+Agree with

+Agree with Tu/04/28/2009/03:55-quickest way to assured wealth = USgov contract.Note fed employees have 30-40%match of funds by their employer to savings-to include all your Republican reps as well as the best healthcare in this country.Who else has that except corporate executive? They make you/us pay for it & want to deny access from it to others.

anyone who loves this

anyone who loves this article should listen to the lecture "free market fantasies" by noam chomsky on yuotube. Noam chomsky has called dean baker "perhaps the only true defender of markets that i've ever seen." isn't it nice when someone advocates for markets w/o cynicism so that we the people can see the numerous ways in which we can use "traditional economics" for our benefit (and often to the detriment of rich folks) and more overall efficiency w/o getting screwed?

The reason the free market

The reason the free market is such an abject failure for financing healthcare is because this is not a commodity we are free to choose or not choose to purchase. Everyone needs healthcare and serious healthcare at some point in their life. Free markets are great for potato chips, publicly funded social contracts are great for healthcare and that is why every industrialized country (except us) uses this method for financing healthcare. We could have the greatest, uniquely American single-payer system in the world, if we wanted. Who's with me?