Health care cooperatives already exist

June 17th, 2009 | by Brian Schwartz |

When politicians talk about “cooperatives,” they mean you cooperate, or else.

Supporters of the “public insurance option,” that is, government-run insurance that competes with commercial insurers sense opposition: People realize it’s unfair competition. You know, like playing basketball against a team of players who also function as the referees.  In response, some Democratic politicians have proposed, as the New York Times reports:

that the public plan could take the form of an insurance cooperative that would be owned and operated for the benefit of its members, but not run by the government.

Michael Tanner at Cato points out:

In fact, health care co-ops already exist. Health Partners, Inc. in Minneapolis has 660,000 members and provides health care, health insurance, and HMO coverage. The Group Health Cooperative in Seattle provides health coverage for 10 percent of Washington State residents.

If the new co-ops operate under the same rules as other nonprofit insurers, why bother?

And there’s the rub. Supporters of government-run health care have no intention of letting the co-ops be independent enterprises. In fact, Sen. Charles Schumer (D-NY) makes it clear, for example, that the co-op’s officers and directors would be appointed by the president and Congress. He insists that there be a single national co-op. And Congress would set the rules under which it operates.  As Sen. Max Baucus (D-MT) says, “It’s got to be written in a way that accomplishes the objectives of a public option.”

If a “co-op” is run by the federal government under rules imposed by the federal government with funding provided by the federal government, that is government-run health insurance by another name.

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