(An update from yesterday; progressives need to keep up the pressure. You might also be interested in putting your name in a TV ad for the public option that’s being run by the Progressive Change Campaign Committee PAC. Edited for space. – promoted by Brian Leubitz)

In response to Health Care for America Now’s posting and petition and MoveOn’s advertisement wondering why Senator Feinstein is naysaying on health care in the face of huge momentum for real reform, Feinstein’s office emailed the following statement to TPM and other news outlets:

I support:

1) Reducing costs and expanding coverage

2) Prohibiting the denial of insurance because of pre-existing conditions

3) Moving toward either a non-profit model of medical insurance or to one where premium costs can be controlled, either through competition in a public or cooperative model or through a regulated authority.

4) Assuring the financial survival of Medicare, because it is slated to run out of money in 2017.

5) Preventing the transfer of Medicaid costs to states, which could result in billions of dollars of additional loss to the State of California.

6) Establishing means testing for programs like Medicare Part D, which pays for prescription drugs

Clearly, the individual mandate – and how it is funded – is the critical, and as yet unanswered, question.

Huh? Let’s look at this more closely over the flip.

Feinstein wants to:

• Control costs
• Expand coverage
• Stop insurance industry bad practices
• Move towards non-profit insurance
• Save Medicare and Medicaid
• And support comparative effectiveness research

With the exception of that last point, all of the outcomes Senator Feinstein wants to see from reform are things that are most easily accomplished – indeed, perhaps can only be accomplished – with robust health reform that includes a public health insurance option.

Feinstein wants to control costs? The Commonwealth Fund estimates a health reform bill with a public health insurance option will save an extra $2 trillion over 11 years.

Feinstein wants to expand coverage? Jacob Hacker argues [pdf] that the public health insurance option in conjunction with reform is the way to best provide expanded and quality coverage, while preserving choice.

Feinstein wants to stop insurance industry abuses? Then she’ll have to help pass a law that mandates these things, because the insurance industry will never voluntarily accept these concessions, as their testimony before Congress made abundantly clear.

And Feinstein wants to save Medicare and Medicaid? Well, the only way to do that is to aggressively control costs, as Budget Director Peter Orszag points out, is to reform health care in a real way.

In short, if Senator Feinstein wants to achieve any of the goals she says she wants to achieve, she’s going to need to support robust health reform, including the choice of a public health insurance option.

And that fact makes her two statements on the issue all the more puzzling. Why, in the face of huge momentum for health reform, did Feinstein go on national television and say some particularly unhelpful things like, “I don’t know that [President Obama] has the votes right now,” a comment designed to give comfort to the enemies of health reform? And why did she then turn around and say she’s for all kinds of goals that can only be accomplished with reform?

It doesn’t make sense, it’s contradictory, and it still leaves Feinstein in the naysayer camp. So keep calling her office at (202) 224-3841 and sign the petition and ask her to just come out and say it, “I’m with the President and commit to using all my muscle to pass real health care reform this year, including a choice of a public health insurance option, to achieve the goals I’ve laid out for our health care system.”

I’ll say it once again: Senator Feinstein can either make history, or stand in the way.

(also posted at the NOW blog)

I’m proud to work for Health Care for America Now

(DiFi is screwing us on health care.  Please get involved. – promoted by David Dayen)

In the last few days, there has been a significant shift in the political winds in Washington towards real health care reform, with a robust public health insurance option at its heart. The last thing we need is someone nay-saying that reform won’t pass.

Why, then, is Senator Diane Feinstein doing just that, saying she’s not sure reform is going to pass? She should help us make history, not stand in the way!

Sign the petition urging Feinstein to stand up for Californians and America.

Now, let’s take a look at the landscape.

First, two polls from respected news organizations were released almost simultaneously, both showing strong support for a public health insurance option. The Wall Street Journal/NBC poll showed 76% in favor of the choice of public health insurance, and the New York Times/CBS poll showed 72% favor that same choice. As Nate Silver, polling guru and most accurate forecaster of the 2008 elections, put it, “Overall, polling points toward the public option being at least mildly popular and indeed perhaps quite popular.”

Second, proposals in Congress are moving in the direction of offering Americans this choice that they clearly want. On Friday, the three committees in the House with jurisdiction over health care, endorsed by the House leadership, came out with a great bill, with everything we wanted in it.

Third, the Senate is moving in the right direction, however slowly. Kent Conrad, the author of the co-op proposal, is working with Chuck Schumer to figure out how a co-op could become a public health insurance option that meets our principles:

Schumer and other backers of a public option insist that any plan must be national in scope, have substantial funding at the beginning from the federal government, and include national purchasing power in order to negotiate lower prices.

Conrad ticked off the areas of agreement that were reached Monday.

“National structure: I believe to be effective there has to a national entity with state affiliates and those affiliates have to have the ability to regionalize. I think his concern there can be addressed,” said Conrad. “Second, he believes there needs to be national purchasing power. I think that’s a good point that the national entity would be able to do purchasing on behalf of the state and regional affiliates and on behalf of the national entity itself.”

The HELP Committee is currently marking up a bill as well, moving the process along.

And finally, President Obama, the President with a 63% approval rating, is campaign hard for a public health insurance option. He went up against a somewhat hostile crowd at the AMA’s annual meeting to promote his helath care plan, and he’s going on national television for two hours tomorrow night to answer questions on it.

So why, in the face of all this momentum for a public health insurance option from the House, the Senate, the White House, and the American people, is Senator Dianne Feinstein going on TV and saying something like this?

President Barack Obama may not have enough votes in the U.S. Senate to pass his effort to overhaul the nation’s health-care system, California Democrat Dianne Feinstein said.

“I don’t know that he has the votes right now,” Feinstein said today on CNN’s “State of the Union” program. “I think there’s a lot of concern in the Democratic caucus.” Controlling costs of the new system is a “difficult subject.”

Where’s the concern in the Democratic caucus? The people want reform, the House wants reform, the Senate is moving in the right direction, and the President is out promoting his plan. What concern?

The statement about having the votes is curious, too, because as it looks to me, we don’t have the votes in the House for anything less than real reform, or so says Speaker Pelosi.

Why, then, is Feinstein insisting on being a nay-sayer on health reform? Honestly, the only people saying health care may not pass are hard-core conservatives and Feinstein. Even the insurance industry says it wants health care to pass!

Health Care for America Now is working to get to the bottom of this question. Our field partners in California are making sure she’s hearing from her constituents on this issue, including office visits and hundreds of calls every day. They’ve got thousands of signatures on a petition asking Feinstein to support a public health insurance option. And they’re going door to door to tell voters in California about health reform and Feinstein’s positions. Given the pressure her constituents are putting on her, who is Feinstein representing here?

There’s no reason for Senator Feinstein to be a nay-sayer on health care, especially given the political climate in Washington right now. So why is she? If you want to know the answer to this question yourself, give her a call at (202) 224-3841. I’d be very interested to hear her explanation.

Feinstein needs to stop nay-saying on health care. Real reform will pass this year, because we can’t afford to wait any longer. Senator Feinstein should help make history, instead of standing in the way.

(also posted at the NOW! blog)

I’m proud to work for Health Care for America Now