If only Obama had given one more speech, the Democratic caucus in the Senate would have totally supported a Swedish-style single payer health care system:
One of the most interesting examples of the reform effort are the “copper plans” being proposed in the Expanded Consumer Choice Act, which is being pushed by seven moderate Senate Democrats: Mark Begich, Mark Warner, Heidi Heitkamp, Tim Kaine, Mary Landrieu, Angus King, and Joe Manchin.
The bill has been around for a few months, but it’s gained more attention in recent weeks because Begich — one of the most vulnerable Democrats in the 2014 election — is using it as proof that he really does want to fix Obamacare, rather than just protect it. If he wins his election, it could become a model for Democrats trying to run on Obamacare going forward. It might even end up being part of a Republican reform package.
Copper plans cover 50 percent of expected health costs (or, as the health wonks put it, they have an “actuarial value” of 50 percent). That means premiums are cheaper than the platinum, gold, bronze or silver plans — the consulting group Avalere Health estimates that copper plan premiums would be 18 percent lower than bronze plan premiums.
But if you get sick, the deductibles and co-pays are much higher. Larry Levitt, a vice president at the Kaiser Family Foundation, says that the deductibles would have to be in the range of $9,000 — which would make them higher than the $6,350 out-of-pocket maximum that the law currently allows.
In other words, a significant percentage of the Democratic caucus is looking to fix the ACA by making it a lot worse for poor people.
When someone tells me how Obama was supposed to get votes 53-60 for a better health care bill–in a Democratic caucus that was worse in 2009 than in 2014, let me know.