Word: carefully
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...fury it has provoked on both sides of the health-care debate, it's easy to forget that the idea of a public option was something of an afterthought when presidential candidate Barack Obama first designed his health-care-reform plan. It didn't merit so much as a mention in the 3,636-word speech he gave laying out his vision on health care in May 2007, and it rarely came up in the primary and general-election battles that followed...
Over the course of the health-care debate, the public option has come to assume many shapes. And as politicians oversell it as either the destruction or the salvation of the American health-care system, they rarely bother to specify which of its many incarnations they are talking about...
...most liberal and far-reaching version, passed by two House committees, would tie the rates the public plan pays health-care providers to what Medicare reimburses. Given that Medicare reimbursement rates can be 30% lower than those paid by private insurers, such a system could be a powerful one at holding down costs and could save the Federal Government $110 billion over 10 years, according to the most recent estimates by the Congressional Budget Office (CBO). (The Federal Government's costs here would primarily be the subsidies it gives low- and middle-income people to help pay their premiums...
What she can probably pass is a different version, approved by the House Energy and Commerce Committee, that would establish a public option that operates more like a traditional insurance company, with the Health and Human Services Secretary negotiating with health-care providers to determine how much it would reimburse them. That wouldn't raise as many objections from health-care providers and insurers, but it wouldn't save all that much money either. The CBO estimates it would trim federal spending by about $25 billion over 10 years...
...Wilson said. “We are still unfortunately growing into that and haven’t learned enough from our mistakes of turning the football over and not tackling well and understanding that although it’s a team sport, as an individual you have to take care of your responsibility, because you’re responsible to the other ten guys on the field at the time and the remaining of the team that’s on the sideline...