In Defense of McCaskill on Health Care Reform

There's been a lot of criticism of Senator McCaskill's recent statements about health care reform suggesting that she's "moving to the center" or "selling out" by saying that she's looking for alternatives to the invindual mandate. In fact, Rachel Maddow has now promised to mail a cardboard cutout of Blanche Lincoln to McCaskill to remind her of the futility of Democrats trying to pretend they are Republicans.

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This is clever and fun, but I actually disagree with Maddow's reading of McCaskill's statements. What Claire has said is that she would look to see if there are other alternatives to the mandate that would accomplish the things she wants accomplished in the health care bill. Here's a specific quote from Politico:

In an interview, McCaskill said she’d “love to” modify the mandate and is “looking at different ways to try to” extend coverage without a mandate.

“We’re running numbers to see how many new people we can get into the pool with something less than a mandate, something that would be more limited enrollment periods with severe financial penalties for not signing up.”

McCaskill added that an alternative “may not be workable; it may be that the mandate is the only way we can do it. But I think we should explore it.”

She also was quoted as follows:

“I’m not worried about the politics of this; I’m worried about the substance of it,” McCaskill said. “My goal has always been pretty simple: affordable, accessible, private-market insurance for people in America who want insurance. The politics of this are hard; it’s just easier to stay focused on the substance because that’s what matters.”

So the real question is, what are the good things about the health care bill that she's trying to protect while "looking into" other options? I think, as she's stated many many times, those good things include expanding insurance coverage to the people who need it and making sure that people with preexisting conditions can get coverage. And remember, the point of the mandate is to have enough people buying insurance that the insurance companies can afford to cover others, including people with preexisting conditions:

Senator McCaskill: Uh, I mean, the mandate obviously is the most unpopular part, but, um, when you ask people if they want to do away with preexisting conditions they say, well of course, that's so unfair. Well, who's gonna buy insurance before they're sick. You can't do away with preexisting conditions unless you set up an environment where everyone has insurance.

So McCaskill has always expressed reservations about the mandate, but has stated that it appears to be necessary for protecting the good parts of the bill that outweigh the negatives of the mandate.

And let's be honest: the mandate does suck when considered by itself. The idea that we have to pay the same greedy insurance companies who screwed us in the first place is pretty disturbing. In fact, it was so disturbing that progressives like Markos Moulitsas and Howard Dean were originally against the health care reform bill that featured a mandate without a public option. But they eventually relented for the same reasons Claire and pretty much everyone else who supports the current bill signed on: the bill, which ultimately is an extremely positive step, would not be able to accomplish the good things without the minor annoyance of the mandate.

So now what is McCaskill saying? She's saying she's looking into ways of accomplishing the good things without the negative of the individual mandate. And if we're being honest, I think many people would agree that if we could have the good things without the mandate, the health care bill would be better overall. However, most of us just question whether it's actually possible to take care of preexisting conditions without the mandate (at least, in this system where there are not public options available). So McCaskill says she's looking into other options, and that there might not actually be any other options to accomplish the good things, and I think she's right. But most of the other criticism on this issue, in my opinion, is simply reading too much into her words.

However, if Maddow would like to mail Claire the Blanche Lincoln cutout because of her spending cap suggestions, I'm all for it!

Wagman Doesn't Bother With Getting Quotes

Jake Wagman regurgitated a story yesterday suggesting that Senator McCaskill wants to get rid of the individual mandate component of health care reform. The story had been reported by The Hill and by WillyK at Show Me Progress the day before. Despite possessing the title of "reporter," Wagman apparently did not bother to actually get a quote from the McCaskill campaign about the statement.

On the other hand, Jo Mannies at the Beacon did get a quote about McCaskill's position on mandates, and it was pretty interesting:

McCaskill press secretary Maria Speiser said Thursday that the senator's MSNBC comments, in their entirety, "are not significantly different from what she has said in the past."...

Overall, said Speiser, "Claire believes the bottom line is that the mandate is unpopular, and if there are other ways to stop insurance companies from discriminating against people with pre-existing conditions, it’s worth considering."

Mannies also presented the full quotation from McCaskill that sparked the recent controversy:

I think they don't like the mandate and by a wide margin they voted that way (a reference to Proposition C, which passed handily in Missouri on Aug. 3). I do think we have to look at it to see if there's a different way to make sure to get more people in the pool. What the most popular part of the bill (is, barring) pre-existing conditions, allowing people who have had the nerve to be sick before, allowing them to get insurance, that's the most popular part. That really is what drove the desire for a mandate because you've got to get everybody in the pool. Can you imagine if you could go get car insurance after you had a wreck? Who is going to buy insurance until after they're sick. Maybe there's other ways to get people in a pool other than a mandate -– I hope -– and we need to look at that.

Seems like a pretty interesting facts that add flavor and context to the story, no?