The Mercury News Weekend

Democrats echo Obama’s untrue health care pledge

- By Marc A. Thiessen Marc Thiessen writes for the Washington Post.

WASHINGTON » In 2009, President Barack Obama promised that under Obamacare, “If you like your health care plan, you’ll be able to keep your health care plan, period. No one will take it away, no matter what.” Millions of Americans believed him, and millions of Americans lost their health care plans. Obama’s promise was a lie and his administra­tion knew it.

Well, Democrats are at it again.

In the Democratic presidenti­al primary, there’s a major debate over health care among the four leading contenders. On one side are Sens. Bernie Sanders, I-Vt., and Elizabeth Warren, D-Mass., who support a single-payer “Medicare for All” plan. Sanders is refreshing­ly honest, admitting that his proposal for Medicare for All will abolish most private insurance. Americans appreciate his candor, but not his plan: A Quinnipiac poll shows that support for Medicare for All has plummeted from 51% in 2017 to just 36% today.

Former Vice President Joe Biden and South Bend, Indiana, Mayor Pete Buttigieg have gone on the offensive. They’re pushing for a public option — what Buttigieg calls “Medicare for All Who Want It.” They promise we can have it both ways: The government can offer people the option of signing up for Medicare-like government coverage, but also protect the 160 million Americans — many of them union workers — who like their employer-provided insurance.

In other words: If you like your health care plan, you’ll be able to keep it.

Biden’s case for the public option echoes words that Obama used when he lied to the American people a decade earlier: “If you like your employer-based plan, you can keep it. If in fact you have private insurance, you can keep it,” he says. In a new ad, Buttigieg also channels his inner Obama, declaring “If you prefer a public plan like Medicare, like I think most Americans will, you can choose it. But if you prefer to keep your private insurance, you can.”

Just like Obama’s false promise 10 years ago, the Biden-Buttigieg promise that you can keep your plan is a lie. As Seema Verma, head of the Centers for Medicare and Medicaid Services, has explained, “The public option is a Trojan horse with single-payer hiding inside.” Verma points out that private insurance pays hospitals 75% more than Medicare for the same services. In 2017, for example, Medicare underpaid hospitals by $54 billion. They make up the lost revenue by charging private insurers more — which means private plans are essentiall­y subsidizin­g Medicare for seniors.

But if tens of millions of Americans under 65 sign up for a public option, the population requiring subsidies will expand dramatical­ly, while the source of private revenue will dry up. To stay afloat, doctors and hospitals will have to charge even higher prices to private insurers, which in turn will force insurers to raise prices and reduce services — making it harder for them to compete with the government for customers. A death spiral for private insurance will ensue. The higher private insurance premiums go, the more people will be pushed into the public option — until eventually the private option all but disappears.

In other words, the end result of Medicare for All and “Medicare for All Who Want It” is exactly the same: the eliminatio­n of private insurance. It’s only a question of whether it is eliminated instantly or dies a slow, painful death.

So, when you hear Democrats promising you can keep your health plan, they are lying. If you buy the same lie a second time, you have no one to blame but yourself.

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