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A Good Idea Takes Shape

If you go back to the beginning of Rubinhealth.com you will see a little piece I wrote on what healthcare reform means to me — and how it would be possible to get something done.  It’s still on the site.  In this summary, I spoke about a limited public option.  My premise was to start it out slowly and give it some time to determine if it would work before it was expanded.  I said it should start it in a region with limited participation which would allow vested parties, including providers, insurers, the public, and yes the government to see what worked and did not work.  Guess what, this is close to what is happening now…

Since the public option is still alive (which I must admit surprises me), we are now seeing Congress coalesce around a public option that would be available only when individual states chose to have one and it would limit participation to those who could not get private health insurance.  Basically, the plan evolving would be more limited in scope and yes, it would allow for all of us to see if it works.  There are still far too many details to be worked out to fully understand what the public option will look like in terms of how providers are paid, premiums charged, covered services, and so on.  But at least we are starting to understand what is going to happen in the near future.  As I have been saying all along, healthcare reform, while critical to this country, can still fall apart.  The country supports reform but the details are still vague and Congress remains deeply divided.  That being said, we are getting closer and closer.  And on Healthcare Connect, Sirius 114/XM 119, our predictions have been fairly close so far.  Stay tuned.

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