Wednesday, January 31, 2007

Framing the problem

Sorry to keep harping on my idea to recapture the tax expenditures we're making to subsidize private insurance's bloated administrative costs, but I want to emphasize another feature of the idea, that it helps correctly frame the problem clearly. In the fight to enact this proposal, its proponents can and should just repeat three things over and over:
  1. Health insurance costs too much because insurance companies skim too much off the top
  2. Insurance companies fighting this proposal just want to keep their special interest tax breaks for overhead, while we want to redirect the subsidy to providing actual care
  3. When insurance companies say they could never reduce costs much more than they have, they're saying Medicare is more efficient than they can ever be
Best of all, these same messages help frame the debate over whatever the big proposal is that the tax is designed to help fund. Insurance industry running "Harry and Louise" ads? They don't think the plan won't work, they just would rather keep the money for their special interest tax breaks.

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