"The real question is whether the public option will have statutory authority 
to require participation of doctors and hospitals, using Medicare participation 
as a hammer, and whether it can use Medicare with the public option to 
negotiate drug rates. A third point is the use of the Treasury as a cushion. If 
premiums are set too high or low one year, the Treasury covers the difference, 
and the adjustment is made to next year's premiums. This is what I would call a 
robust public option. With these features it can drive down costs. Without 
them, it can't. If it can't lower costs, what is the justification? We might 
just as well pour the money into the insurance companies as set up a separate 
bureaucracy."

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Firedoglake masaccio September 12, 2009
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