Smell the Joementum!

TPM is reporting that Lieberman is at least open to the notion of the Medicare buy-in as a replacement for the public option:

Lieberman said he’s open to both the Medicare buy-in idea, and a separate proposal to extend the private system that insures federal employees to individuals and small businesses.

On the Medicare buy-in–which has significant appeal among liberals–Lieberman was open, but non-committal. “I’ll take a look at it,” Lieberman said. “I think the good news is, however, that the current bill will, for the first time, provide people 55 and over who are not yet eligible for Medicare with subsidies to go on to the exchanges and buy, so they can buy for a lot less than it costs them in the marketplace now.”

“I’m open to looking at it,” Lieberman told reporters. “But I want to make sure that we’re not…adding a big additional burden to the Medicare program.”

Seeing as Snow has already dumped on this idea as pure crazy-talk, this statement by Lieberman counts as real progress. He’ll go back on it by tomorrow morning, but at least we’ve got tonight.

Opting Out

Paul Starr argues that, because of the potential for real public backlash, the individual mandate should contain an opt-out provision. In a nutshell, you could choose to opt out of coverage…on the condition that you couldn’t easily opt back in for a five year period afterwords.

I agree with Starr that the mandate is the thing that will really burn people up come, oh, 2075 when the last provisions of this damned bill actually go into effect. And that, if the compromises continue, what you’ll have is a mandate to buy today’s overpriced, under-provisioned insurance…now: with a guarantee of coverage! And but so I tend to think a different kind of solution is necessary when talking about the mandate.

Instead of a fine, you automatically enroll mandated but uninsured individuals into Medicare at whatever the premium cost is for a person of their age (and, yes, I’m therefore proposing here that Medicare-based coverage would/should then be open to anybody of any age that fails to procure private insurance; this doesn’t change the fact that it’s a terrible idea that the smelly hippies will hate, hate, hate). That’s the fine: that you have paid for coverage the hard way…through your tax return; but you’ve ultimately just paid for coverage. The end. No further fines, certainly no jail time, just coverage. Whether you like it or not. If you choose not to decide: you still have made a choice.

Ultimately the opt-out only allows for that most dangerous of impulses: the free rider. I won’t pay until I’m really sick or hit by that bus. It just can’t be allowed if we’re to have any chance at all of containing costs. In many ways, it’s precisely this sort of non-covered coverage that is already driving costs today.

If the Republican party gets back to that [conservative] base, I think our party is going to be stronger and there’s not going to be a need for a third party, but I’ll play that by ear in these coming months, coming years.

Sarah Palin, discussing whether or not she’ll run as a third party candidate.

File under: oh, God, please please please please. Best possible outcome.