Single-Payer: Good for Business | The Nation


Single-Payer: Good for Business

  • Share
  • Decrease text size Increase text size

If the Democrats win the White House and take control of Congress, John Kerry could pass his employer-based healthcare plan, which calls for expanding coverage to nearly 95 percent of Americans, including all children, and for a federal insurance pool that would pay 75 percent of "catastrophic" illness bills. Crucial elements might survive even if the GOP continues to control the House--mainly because of forceful backing from pragmatic business leaders. For example, the Chamber of Commerce signed on early to Kerry's pool idea, calling it "a seed for bipartisan reform." In late October the New York Times reported that the Chamber was acclaiming the idea as "a worthy concept, an excellent use of federal tax dollars," while some Senate Republicans are pushing it, and "lawmakers and lobbyists say that regardless of who wins the presidential election, Congress will soon take up the idea." To be sure, Kerry's scheme may face attacks by the usual suspects and the lawmakers they buy. One influential critic, the National Business Group on Health, has more than 200 members, including at least a dozen drug and medical-device manufacturers plus three dozen healthcare providers and insurers. A Wal-Mart vice president sits on its board.

About the Author

Morton Mintz
Morton Mintz covered the Supreme Court for The Washington Post from 1964 to 1965 and again from 1977 to 1980. He is a...

Also by the Author

By a vote of 5 to 4, in December 2003, the Supreme Court upheld a major provision of the McCain-Feingold campaign finance act that prohibits corporations (and labor unions) from paying for ads that mention the name of a federal candidate, and that are broadcast 60 days before an election or 30 days before a primary.

That narrow ruling is now under challenge and could be overturned in the next few weeks, thanks to President Bush's appointments of John G. Roberts Jr. as Chief Justice and Samuel A. Alito Jr. as an Associate Justice.

The case involves Wisconsin Right to Life, Inc., which campaigned to prevent the re-election of Senator Russell Feingold (D-Wis.), by taking large sums of money from corporations to buy phony "issue" ads on radio and television. The ads attacked Feingold and Herb Kohl, the other Wisconsin Democrat in the Senate, for blocking Bush judicial nominees. Under the 2003 decision, such bogus ads were the "functional equivalent" of campaign ads and thus banned by the McCain-Feingold provision.

Outrage over excessive rewards for incompetent executives could spark the Democratic Congress to action.

Advocating universal health coverage while the GOP controls the White House and Congress would be "tilting at windmills," DaimlerChrysler's Dennis Fitzgibbons told me. Maher said any industry subject to government regulation "has got to be concerned about irritating the regulator," meaning the Bush Administration. A single-payer reform proposal, by seeking to eliminate the insurance industry, he warned in his article, would make it and many other businesses "instant and unnecessary opponents." He recommends other forms of tax-financed universal health coverage that would use the industry. An example would be a system in which employer/employee payroll taxes would finance coverage for the working population, with employees offered several choices of health plans, as the Federal Employees Health Benefits Plan does. A Medicare equivalent would provide for the elderly and nonworking population.

"I don't believe [single-payer] will be achievable in my lifetime," says Ron Pollack, executive director of Families USA. Ideologues "will never support it." Industries heavily invested in the present system "will spend every last dollar to stop it." He recognizes that on "a blank slate," employer-based coverage "absolutely" makes no sense. But "in terms of political feasibility," trying to dismantle the present system would make matters "much worse," he told me. "The most important thing is the achievement of affordable, high-quality health coverage for everybody." To him, the crucial question is: "At what point are we willing to say that there's a higher principle in truly moving toward universal coverage than in knocking our heads against a stone wall, in absolute frustration about a methodology [single-payer] that is not going to be achievable in our lifetime?"

Surely in a Republican Washington the prospects for publicly financed universal health insurance are remote. But Washington isn't everywhere. Deborah Richter, a Vermont physician, believes it could still be enacted in every state. As president of Vermont Health Care for All, she's been campaigning to that end in her own state for five years, with impressive results [see sidebar, page 20]. Universal access to affordable, high-quality healthcare should be conceived "as a public good, as are roads, education, and police and fire protection," she says. Making it "a practical issue works. Trying to win support for it by making it a moral issue never works." By resisting the merger of practicality with morality that universal health care embodies, Corporate America is blowing a supreme opportunity to do well by doing good. Enlightened self-interest this is not.

  • Share
  • Decrease text size Increase text size

Before commenting, please read our Community Guidelines.