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Monday, May 27, 2019  

ANA supports public plan option for health reform Published 6/16/2009

The American Nurses Association (ANA) believes the best way to achieve its overall health system goal – guaranteed, affordable, high-quality health care for all – is through the inclusion of a public health insurance plan option in any health care reform legislation.
ANA is deeply disappointed to learn of the American Medical Association’s position that private health insurance alone should dictate coverage options for all who don’t qualify for existing public plans, such as Medicare, as described in the June 11, 2009, New York Times article, “Doctors’ Group Opposes Public Insurance Plan.”
A public health insurance plan would expand choices and help protect against potential economic calamity for individuals or families who are not satisfied with their current health coverage, have difficulty paying for their health care, or cannot find affordable coverage.
ANA supports President Obama’s call for a public plan option, and applauds its inclusion in Senator Kennedy’s comprehensive health reform legislation introduced June 9.
What is lacking in our current health care system, driven by for-profit, private insurance companies, is the reliability and predictability of accessible, affordable care. Many people have encountered the unpleasant reality that they can be denied care when they need it most, or lose coverage when they can least afford it. Private insurers can discriminate based on preexisting conditions, health status, gender, age, claims history, or other factors. In addition, in this unstable employment market, the loss of a job often leads to loss of health coverage, as insurance becomes less affordable.
ANA disagrees with the American Medical Association’s speculation that a public health insurance plan option would threaten to restrict patient choice by driving out private insurers, as stated in the New York Times story. The choice of a public health insurance plan will create a level playing field, where for-profit private plans will have to compete with each other out in the open under fair rules.
Patients should be able to see what they’re getting so they can make the choice about where they purchase coverage and not receive a surprise from their insurer buried in the fine print when they seek health care services.
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