Are Health Care “Co-Ops” Good Enough?

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I just got booted from a conference call with Jacob Hacker, the Yale political scientist widely considered to be the brain behind the “public option” component of health care reform. Ayo, I’m tired of using technology. But before I was so rudely and abruptly removed, I got a chance to listen to Hacker slam the so-called health care “co-ops,” which the Senate Finance committee is reportedly considering as an alternative to the public option.

Hacker said the public plan is a “crucial linchpin” of health care reform, and “co-ops should not be seen as a substitute for the public plan because they are not a serious way to provide public option’s three main goals.” Those three main goals, Hacker says, are the “three Bs”: a Benchmark for prices, a Backup for patients, and a Backstop for cost-control.

Hacker argues that co-ops wouldn’t be able to meet his goals for the public option because they “won’t be effective in competing with private insurance plans.” That, of course, is the larger point of the public option—competing with private insurance. But not everyone (especially not the insurance companies) wants the private plans to have to compete with anything. They barely compete with each other now. So co-ops that would face huge problems entering the market might be just the thing—if you want to keep the insurance companies happy.

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SIX TRUTHS

Reclaiming power from those who abuse it often starts with telling the truth. And in "This Is How Authoritarians Get Defeated," MoJo's Monika Bauerlein unpacks six truths to remember during the homestretch of an election where democracy, truth, and decency are on the line.

Truth #1: The chaos is the point.

Truth #2: Team Reality is bigger than it seems.

Truth #3: Facebook owns this.

Truth #4: When we go to work, we're in the fight.

Truth #5: It's about minority rule.

Truth #6: The only thing that can save us is…us.

Please take a moment to see how all these truths add up, because what happens in the weeks and months ahead will reverberate for at least a generation and we better be prepared.

And if you think journalism like Mother Jones'—that calls it like it is, that will never acquiesce to power, that looks where others don't—can help guide us through this historic, high-stakes moment, and you're able to right now, please help us reach our $350,000 goal by October 31 with a donation today. It's all hands on deck for democracy.

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