By Gail Schontzler
Bozeman Daily Chronicle, September 8, 2017
Itās time for America to consider seriously a single-payer, government-run health system, says Max Baucus, Montanaās longest serving U.S. senator, former ambassador to China and one of the chief architects of Obamacare.
āMy personal view is weāve got to start looking at single-payer,ā Baucus said Thursday night at Montana State University. āI think we should have hearingsā¦. Weāre getting there. Itās going to happen.ā
It was a startling turnaround for Baucus, who eight years ago was chairman of the powerful Senate Finance Committee and a key Democratic leader in the political battles that ultimately passed the Affordable Care Act.
Back then, Baucus said, he felt adamantly that Congress wouldnāt pass a government-run system like Canadaās. So it was the one alternative he refused to put āon the tableā for consideration.
But you can see the difference, Baucus said, when you visit hospitals on either side of the border. In Montana, half a rural hospital will be dedicated to processing medical insurance claims. In Canada, he said, just one small room is needed to verify that patients are residents.
And Americans pay much higher drug prices, he said, because the government canāt negotiate better prices with the drug industry, so U.S. patients end up subsidizing drug prices for the rest of the world.
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Comment:
By Don McCanne, M.D.
When Max Baucus was leading the legislative process that resulted in the Affordable Care Act, he refused to allow any formal consideration of single payer. In response, a group of notable single payer advocates – the Baucus 8 – protested at the Senate Finance Committee hearing that theoretically represented all views – except single payer, which was specifically excluded. The Baucus 8 got their message out, and Max Baucus got his capitol police to escort them out, one at a time.
The Baucus 8 did not give up. They have continued in their advocacy work for single payer reform, as have we all. As an example, one of them, Dr. Carol Paris, is now president of PNHP. Eight years later, Max Baucus now says that it is time to seriously consider a single-payer, government-run health system. āItās going to happen,ā he says.
It is tempting to celebrate this as a victory for the Baucus 8 over Max Baucus, but actually it is more than that. It is a bittersweet victory for all of us, including Max Baucus. It is tragic that that so many have continued to face unnecessary financial hardship, physical suffering and even death over the past eight years.
But the victory is that the message got through. Single payer is now inevitable. Although we have many to thank for that, at this moment of Max Baucusā epiphany, we such give special thanks to the Baucus 8.
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