Matt Yglesias

Nov 16th, 2009 at 2:28 pm

Putting Health Reform Fiscal Issues in Perspective

John Breaux and Bill Frist have an op-ed in Politico whose exoteric message is that congress should use the 2003 Medicare bill as a model for bipartisan health reform. The esoteric message is a reminder that the easiest way to get a bipartisan deal passed is to just have bipartisan agreement not to pay for it at all. That was the secret to the 2003 bill. First you take something a bloc of voters want—in this case prescription drugs—then you figure out a way to provide it in a manner that’s very good for the interests of stakeholders in the business community. Easy as pie.

Filed under: Budget, Health Care,





7 Responses to “Putting Health Reform Fiscal Issues in Perspective”

  1. renate Says:

    Breaux and Frist know exactly how to do it too. If it helps the stakeholders in the business community bipartisanship comes real easy. If we could enroll all dependent children in Medicaid and SHIP regardless of family income, in Medicare we could not get one Republican vote, I am sure

  2. jps Says:

    Why doesn’t single payer, with its clear cost savings relative to the status quo qualify as not having to be paid for at all?

  3. pseudonymous in nc Says:

    Former Sen. John Breaux, D-La., who fought against allowing drug prices to be negotiated in Medicare Part D. A year after the bill passed, he left the Senate to begin his lobbying career. He now has his own lobbying firm, Breaux Lott Leadership Group, which this year has received $300,000 to lobby for the pharmaceutical industry.

    What a heaux.

  4. Rum raisin Says:

    Frist is arguing in bad faith…see if you only handled it like we did, thing would be so different. At this point, even if Obama and the dems push policies that Republicans want (say, more tax breaks but only for the super rich), the GOP would still vote no. There is nothing, NOTHING that the dems can do to get the GOP to sign on. If anyone does, he or she will be hunted and will eventually have to drop out or switch parties.

  5. kafka Says:

    “First you take something a bloc of voters want—in this case prescription drugs—then you figure out a way to provide it in a manner that’s very good for the interests of stakeholders in the business community.”

    Which is exactly what Obama did with his back room deal with Tauzin. Of course Matt/CAP marketed this sellout as another of Obama’s brilliant political ploys.

  6. eRobin Says:

    It was a sin that it passed – but it wasn’t easy. Much easier than reform is passing now though, granted.

  7. steve Says:

    You left out the part about falsifying the real cost of the bill, and threatening to fire the “expert” providing the cost estimates if he provides realistic numbers.


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