Senator Jeff Bingaman (D-NM)

On June 17, it looked like Senators Jeff Bingaman and Kay Hagan were the obstacles to a robust public plan coming out of the HELP committee.

So, it was reassuring when he released a statement to Barb at Democracy for New Mexico on June 19:

"As a member of the Finance and HELP committees, I am working hard to develop legislation that reins in health care costs, while providing affordable and meaningful care. To achieve this goal, I believe it is important to include a public plan — one that is established and overseen by the federal government and made available to all Americans,” U.S. Senator Jeff Bingaman said [emphasis mine].

Unfortunately, he seemed to be backpedaling on June 21:

Finally, I believe it is important that reform includes real competition between public and private insurance plans. The only way to do this is to make sure there is at least one plan whose focus is providing care — not simply making a profit. Such a plan could take many forms, ranging from a federal cooperative patterned on rural electric companies to a nonprofit insurance plan. But whatever form it takes, we must ensure there is fair competition and all plans are playing by the same rules.

The fact that Bingaman is still pointing to regional entities as a model for the public plan implies that he’s not quite there yet.

How can an entity that only operates in Minnesota negotiate successfully to control costs with Merck? For a public plan to have the market leverage and bargaining power that it needs, it has to be administered at the federal level. You’re never going to force the insurance companies to compete if there isn’t a national standard. Small regional co-ops run by their members that spring up at different times aren’t going to be able to have the leverage to control the costs of giant national corporations. It’s like asking your local food co-op to compete on price with Walmart.

Senator Bingaman needs to clarify.