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Small Business and the Public Option New York Times

At this point in the health care reform debate, the biggest unresolved question probably is not, “Will Congress actually pass health care reform?” The stakes now have been raised so high that some kind of legislation will probably make it to President Obama’s desk. No, the mystery now is whether that legislation will include a public option.

Ah, the “public plan” — that’s basically a government-managed risk pool, like Medicare. Proponents (which include most Democrats) say it is the only organization that will have the leverage to force cost controls and other reforms to improve both medicine and insurance. Opponents (which include most Republicans) see it as a slippery slope to a national health insurance system like those found in Canada and much of Western Europe. (Actually, some proponents see it that way, too.)

Oddly, the public plan is also one of the battle lines for organizations that claim to represent small business. The National Federation of Independent Business and the U.S. Chamber of Commerce staunchly oppose a public plan; the Small Business Majority appears (pdf) to support it; while the National Small Business Association insists that if there is a public plan, it should be constrained by the same rules as private insurance.

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Small Business and the Public Option New York Times
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