Failure by Design – the ‘Public’ Option

Triumph of the Money Party

Michael Collins

Do you know what the “public option” does or who it covers?  If you’ve had trouble finding out, it’s not your fault.  Reading corporate media coverage provides little or no clue.  It’s hardly ever defined.  There’s a very good reason for the lack of clarity and definition.  But first, a brief summary of the public debate that characterizes just about every public debate we have on critical issues.

If you think that the current version of the public option will provide a choice for a government administered health program, you’re right.  If you think that this option was designed for the general public, then you’re wrong.  It will apply to only some of the uninsured, possibly as few as six million citizens.  It’s a kind of public option.

But, if you support true choice by the public, then you probably expect this as an option:  a single payer system for health care — one source of payment for doctors and others funded and administered by the government for the public.  Medicare is such a program.  But we don’t get to hear about single payer proposals except from proponents like Representatives John Conyers (D-MI), Dennis Kucinich (D-OH), and Anthony Weiner (D-NY), who define single payer universal health care very clearly.

President Obama’s outline of the public option in his September 9 speech to Congress is essentially unchanged in the current legislation.  The Democratic plan offers “a new insurance exchange” for “Americans who don’t currently have health insurance.”  This sounds good so far, but wait.  This exchange will be “a new insurance exchange –a marketplace where individuals and small businesses will be able to shop.”  The option will be “available in the insurance exchange” and “it would only be an option for those who don’t have insurance.” (See What Obama Actually Said About Health Reform)

It’s not really public, it’s for a small segment of the population, and it is anywhere from four to ten years out in full availability.  This reflects the Oct. 29 House proposal, H.R. 3962, and some aspects of the latest Senate claims for a public option..  The entire effort, limited as it is, will be compromised from the very start since Congress linked public option provider reimbursement rates to those of the health insurance companies.

When citizens see “Open to the public,” they don’t take that to mean only some of the public.  When land is set aside for “public use,” does that mean only 5% or 6% of the public?   All of this makes no sense unless you accept the deliberately confusing definitions and assumptions of The Money Party.

Why would any member of the public think that they were excluded from a public option?

Why would those controlling the debate want us to think that?

Here’s why.  The findings in this poll strikes terror into the heart of The Money Party.


The poll shows a clear majority in favor of a single payer, universal health care program as an option for all citizens.  This poll is consistent with other polls despite the confusion from Washington.  In a fair debate, the health insurance companies would get their clock cleaned and be out of business within a year or two.  But we’re not allowed an open and fair debate because the risk of vanishing corporations is never in The Money Party’s game plan.  Their political bouncers just tossed us under the bus.

The “Long Con” – How Things Work

“A ‘short con’ is an opportunistic scam designed to instantly fleece the victim of all the money they have with them at that time.  On the other hand, a long con takes much longer to execute and requires meticulous planning in order to scam the victim out of much larger amounts of money.”  Scam Types dot Com

The Money Party runs both short and long cons.  When they weren’t able to sell the Iraq invasion, the short con was:  Saddam has weapons of mass destruction.  He’s ready to use them … on you!  Get on board now or else! That short con operated within the long con of perpetual threats and endless war.

The current health reform debate is a classic long con.  The debate is limited to only those positions that will work for the status quo.  If reform fails, there’s no change from the extortion perpetrated against citizens in need of affordable health care.  If reform is adopted, the insurance companies are enshrined at the center of the program.  The fight is then over the size of the rake off.  That’s called bending the curve of health care costs.  Bend, don’t break.   It’s a win-win proposition for The Money Party.

What do legislators do when their patrons demand that an irrational and deadly system remains in place?  Confuse the dialog with weasel words and highly deceptive terms.  Keep the public thinking that they’re really going to benefit from a program and, better yet, that the opposition is trying to prevent that benefit.  Get party loyalists whipped up to fight for your program even though it’s a sham.

The current kind of public option is essential to The Money Party’s long con on health reform.  It allows people to think that there’s a real debate going on.  Someone is fighting for our option to choose decent and affordable health care.

It’s all part of the long con that limits critical debate to unacceptable options advanced by allegedly differing parties. These debates always end the same way — the perpetuation of the major corporate interests, the retention of those in power, and oligarchy; the triumph of The Money Party:

“The Money Party is a small group of enterprises and individuals who have most of the money in this country. They use that money to make more money. Controlling who gets elected to public office is the key to more money for them and less for us.

“In every campaign for major office, the party passes out money and buys candidates from both parties. Thanks to the candidates who get elected, this pay to play system remains perfectly legal … even though it looks like bribery.

‘In return for contributions, the election winners come through by fixing the laws so that The Money Party cleans up. … Cost is no object, because in the end it’s all paid for with our tax dollars.”  Michael Collins:  The Money Party, Sept. 30, 2007.


See:  Special Health Reform Series:  The Money Party and the sickness unto death

This article may be reproduced in whole or in part with attribution of authorship and a link to this web site.

4 responses to “Failure by Design – the ‘Public’ Option

  1. [I’m moving this comment to this article since it relates to healthcare and not marijuana–RA]

    jacksmith, on November 3rd, 2009 at 6:32 am Said:
    Urgent!! Robert Reich on your healthcare

    Why A Strong Public Option Is Essential – By jacksmith – Working Class

    Robert Reich explains the pubic option:

    Hollywood Supports The Public Option

    Beautiful HEATHER GRAHAM

    It’s not just because more than two thirds of the American people want a single payer health care system. And if they cant have a single payer system 77% of all Americans want a strong government-run public option on day one (86% of democrats, 75% of independents, and 72% republicans). Basically everyone.

    It’s not just because according to a new AARP POLL: 86 percent of seniors want universal healthcare security for All, including 93% of Democrats, 87% of Independents, and 78% of Republicans. With 79% of seniors supporting creating a new strong Government-run public option plan, available immediately. Including 89% of Democrats, 80% of Independents, and 61% of Republicans, STUNNING!!

    It’s not just because it will lower cost. Because a strong public option will dramatically lower cost for everyone. And dramatically improved the quality of care everyone receives in America and around the World. Rich, middle class, and poor a like.

    It’s not just because it will save trillions of dollars and prevent the needless deaths of millions more of YOU, caused by a rush to profit by the DISGRACEFUL, GREED DRIVEN, PRIVATE FOR PROFIT MEDICAL INDUSTRIAL COMPLEX!

    It’s not just because every expert in every field, including economist, and Nobel laureates all agree that free market based healthcare systems don’t work. Never have and never will. The US has the only truly free market based healthcare system in the World. And as you all know now, IT IS A DISASTER!

    It’s not just because providing or denying medically necessary care for profit motivations is wrong. Because it is WRONG! It’s professionally, ethically, and morally REPUGNANT!, Animalistic, VILE and EVIL.


    The public option is ESSENTIAL because over 200 million of you are trapped in the forest of the wolves. Which is the forest of the DISGRACEFUL, GREED DRIVEN, PRIVATE FOR PROFIT MEDICAL INDUSTRIAL COMPLEX! With no way out except through needless inhumane suffering, and DEATH. While the wolves tear at your flesh, and rip you limb from lib. Then feast on your lifeless bodies like a dead carcase for transplant parts.

    At the most vulnerable times of your lives (when you were sick and hurting), millions of you have had to fight and loose cruel, but heroic battles. Fighting against the big guns of the DISGRACEFUL, GREED DRIVEN, PRIVATE FOR PROFIT MEDICAL INDUSTRIAL COMPLEX! in the forest of the wolves. All because you have no place else to go. You have no other CHOICE!

    But the PUBLIC OPTION will give you someplace safe to go. And it will give us someplace safe to take you. The public option will be your refugium (your refuge). Where the wolves cannot get at you when your down, hurting, and vulnerable. Where everyone who needs it can find rest, security, comfort and the care they need. Protected by the BIG GUNS of We The People Of The United States. THE MOST POWERFUL PEOPLE AND COUNTRY ON EARTH.

    This is why it is so critical that we do not lead another 50 million vulnerable, uninsured Americans into the forest of the wolves, without the protections of a Strong Government-run MEDICARE like public option. We The People Of The United States MUST NOT LET THAT HAPPEN to any more of our fellow Americans. If healthcare reform does not contain a strong MEDICARE like public option on day one. YOU MUST! KILL IT. Or you will do far more harm than good. And millions more will die needlessly. Rich, middle class, and poor a like.

    To those who would continue to obstruct good and true healthcare reform for the American people, and who seek to trap millions more vulnerable Americans in the forest of the wolves. We will continue to fight you. We are prepared to wage all out war against you, and will eagerly DESTROY! you. Time…is…UP! YOU HAVE BEEN WARNED! No Co-op’s! No Triggers! NO INDIVIDUAL MANDATES! without a Strong MEDICARE like public option on day one.

    Healthcare reform can be the GREATEST! Accomplishment of our time and century. A time when future generations may say of us, that we were all, AMERICAS GREATEST GENERATIONS.


    I therefore call on all my fellow Americans and the peoples of the World. To join us in this fight so that we may finish becoming the better America that we aspire to be for everyone.


    I have been privileged to be witness as many of you fought, and struggled to take your first breath, and your last breath on this earth. Rich, middle class, and poor a like. Life is precious.

    Whatever the cost. WE! MUST SUCCEED.

    God Bless You My Fellow Human Beings

    jacksmith – Working Class

    ATTENTION!! Congress Has The Votes Needed To Pass A Public Option – TODAY

    Things You Can Do To Help NOW!

    A majority of voters would rather have a Democrats only bill with a Public Option. Than a bipartisan bill without a Public Option.

    A state based insurance plan is NOT!! a Public Option. Nor is it a Strong, National, Medicare like Public Option.

    No Triggers!


    Krugman on heathcare (

    Senator Bernie Sanders on healthcare (

    John Garamendi on the Public Option and the Grassroots:

    Howard Dean on the Public Option

    We’re Number 37! in quality of health care

    Twitter search (#welovethenhs #NHS #hc09 #hcr #healthcar #obama #p2 #topprog #) Check it out.

  2. Pingback: The Progressive Mind » Failure by Design – the ‘Public’ Option « COTO Report

  3. Pingback: COTO Report Tops 100,000 Visitors « COTO Report

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