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Published at www.nejm.org November 11, 2009 (10.1056/NEJMp0910678)

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No issue has dominated the health care reform debate as much as whether the U.S. government should offer a health insurance plan to compete with private insurers — the so-called public option. Congress has discussed two approaches to the public option, one of which would have the public plan pay providers at rates close to Medicare rates (generally, substantially below those of private insurers). Opposition by insurers, providers, and the business community, as well as fears that such a payment structure would lead to a single-payer system, has pushed this "robust" public option off the table. Instead, both the House . . . [Full Text of this Article]

Source Information

From the Center for Studying Health System Change, Washington, DC.

This article (10.1056/NEJMp0910678) was published on November 11, 2009, at NEJM.org.

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