Blue Dog Pushing Health Co-ops Despite His Own Warnings
by Chris Kromm, cross-posted from FacingSouth
Rep. Jim Cooper (D-TN) used to support a public option for a health care. But now he's become an advocate of the alternative put forward by health interests and his fellow Blue Dogs: non-profit health care cooperatives.
And to make the case, Rep. Cooper says we should look to the model of our country's rural electric co-operatives. As he told MSNBC yesterday:
"A co-op is really used over three-quarters of the land area of America so we buy our electricity that way," said Cooper. "It's a creature of the New Deal. It's worked really pretty well over all the country for 70 or 80 years. It's owned by the customers; it is not owned by the government. It works. It works real well."
But Rep. Cooper hasn't always been so enthusiastic about the rural electric co-op model.
In fact, just last year, Cooper published an article in the Harvard Journal on Legislation [pdf] that blasted the rural electric co-ops, which he argued had "turned away from their historic role" as pro-consumer organizations and had "taken on deeply troubling anti-consumer behaviors."
Entitled "Electric Co-Operatives: New Deal to Bad Deal?", Rep. Cooper's piece chronicles a list of failings of the electric co-op system. Among the biggest problems he finds:
* Many co-ops have turned away from their public interest mission, "acting distressingly similar to for-profit businesses," in some cases becoming "wealthy power companies." (p. 354).
* One result of the for-profit mentality is that the co-ops, Cooper argues, have cheated consumers out of money: "$3 billion to $9 billion" in capital credits that should be refunded to consumers (p. 375). Tennessee Valley Authority co-ops "have refused to refund any member equity" (p. 340).
* The electric co-ops have also "tried to hide information from their members ... Free of member scrutiny, co-op managers have often failed to serve their members' interests." (p. 339)
* Many co-ops are poorly run: "Co-op board members sometimes display astonishing ignorance of co-op business," argues Cooper, "but are insulated from liability for their decisions due to the co-op's not-for-profit status" (p. 362).
* Co-ops lack regulatory oversight: "Sarbanes-Oxley requirements for independent directors or audit committee experience do not apply," Cooper warns. (p. 362). Lax oversight has led to dozens of scandals: For example, "A suburban Fort Worth co-op borrowed a billion dollars to buy a golf course, Westin hotel, and shopping mall--then declared bankruptcy" (p. 341).
* Electric co-ops have created their own powerful political operations who "blame government for new regulations" (p. 355). They also find themselves at odds with the public interest mission of other parts of government, such as lobbying against clean energy legislation.
Rep. Cooper proposes fixes for some of these problems in his article, but not for others. Many seem to mirror problems our country has had with health co-operatives in the past, which have been subject to similar political and economic pressures.
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Comments
Just ask customers of North Carolina's electric co-ops
what they think about the model. Electricities is a notoriously anti-consumer organization. Some of the posts around here have been downright scary. If that's what people are thinking about healthcare, then we are in serious deep doo doo.
Take your pick of horror stories.
What about...
...a "credit union" model for health insurance co-ops?
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Not everything that can be counted counts, and not everything that counts can be counted. -- sign on Einstein's office wall.
Neat idea
Join the American Health Insurance Union! I love it!
When all is said and done the
When all is said and done the public option isn't going to fly. The votes just will not be there. Take the co-op's, get the other reforms in the package and count it as a victory. It we can get rid of caps, get most people on a policy, slow down medical inflation and eliminate pre-existing condition requirements we will have made great progress. I hope and pray that the progressive house members don't walk away and we end up with nothing.
I'm a moderate Democrat.
Couldn't disagree more
A half-assed plan with mandates that lock in insurance profits is worse than no plan at all.
Yeah, those insurance companies can't wait.....
for that co-op idea. Their stocks all surged yesterday(18th) knowing they'll be in control of our dumb population. All the civilized countries, who have been through this, can only laugh at our stupidity.
Let's not do a "lesser of two evils"
James, I hope I'm not stepping on your toes here, but your post sounds a lot like you'd be okay with a health care bill that really isn't great for our country so long as it's better than other options or the status quo.
We shouldn't be looking at this in a "lesser of two evils" sort of way. We should be wanting a fabulous system that works, contains costs, gives everyone affordable health care and doesn't do what many of the opposition (ala, conservatives) are claiming it will do.
We should take the time to formulate a viable health care option for people in our country that currently do not have that luxury yet enables those that truly want to keep what they want to do so. Then, our legislature needs to reign in the abuses of the insurance companies through enacted legislation that accomplishes that goal.
You misread me
I want a fabulous plan too ... preferably a simple, single-payer plan. I've been working for that for years.
Maybe you're picking up on my cynicism about the news these days, and for that I apologize. I meant to say I would rather have NO plan that a plan that locks in the current system of insurance profiteering. And I'm embarrassed for Democrats that they can't seem to get a first-class plan into play.
Public Option is in the House bill
and is in the Senagte committee reports of all but the Finance committee; which has been stalled by trying to reach a compromise with the Republicans.
In simple language there is over all support for the public option via a simple majority vote in the Senate.
Everything else you hear and read is white noise to distract from this reality.
Once any bill is voted out by the Senate Finance committee it will be rewritten by the Democrats to conform with the House bill and other Senate committee reports.
Pay no attention to the press headlines, they are just looking for a sexy story.
Co-Ops = just another way to increase insurance profits
I don't understand why anyone would think that Health Insurance Co-Ops would be a good idea at all. It would just be another way for insurance companies, such as the "non-profit" BCBS, to control the market and to rake in a much larger profit. We tried Co-Ops on Health Insurance years ago and it failed. We tried Co-Ops on utilities and they failed. The ONLY option that will really make a difference to the people is a Public Health Plan and Health Care Reform that has regulations on the entire Health Care Industry.
I still like ...
....the credit union model.
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Not everything that can be counted counts, and not everything that counts can be counted. -- sign on Einstein's office wall.