By now healthcare policy watchers everywhere know that the Baucus Senate Finance bill passed and that Olympia Snowe’s (R-ME) moderate voice was the lone Republican modicum of support. Next up — no more than two weeks (according to Harry Reid [D-NV] — majority leader) of debate before the final floor bill. Besides keeping busy with the pending debate, possible reconciliation, and floor vote; senate Dems are busying themselves with another cause. The deer in the health reform headlights is none other than Insurance itself.  Whatever the reason, the eleventh hour report the industry’s lead lobby — the AHIP — rapidly rolled out on the eve of the Baucus bill vote has complicated matters for themselves. If the AHIP thought that this move would help their cause by drawing a line in the sand, it’s done nothing but inflame all three (four?) sides of the healthcare debate: the Republicans, Democrats, Obama & the WH, and the healthcare beneficiary.

It’s the latter demo that the other three have to contend with over the next crucial 14 days before the most sweeping changes in 65+ years in healthcare delivery occur. Vitriolic townhalls may be a thing of the recent past, but the public’s ire over what is now seen as insurance reform (as opposed to true grassroots healthcare reform) is sure to grow over the next few days – in part due to the latest stirrings by the AHIP. Obama’s spearheading of the reform debate up to this point has generally been heralded as positive, if not mildly successful. But that victory may be a pyrrhic one if many see this detour on the road toward reform as beholden in some part to Insurance.

As the blending of the House and Senate versions of the reform bill coalesce for a vote on its passage, Democrats (who, let’s not forget, own the majority in both houses) must continue to frame the debate on reform as one of guaranteed access that won’t bankrupt the “system” by skewing risk pools, as the AHIP’s report suggests.^[1] Sound fiscal arguments persuasive enough to woo and keep moderate Republican interests like Sen. Snowe are the Dems’ best shots at melding a bill that will please many at the expense of a dilute public option.

1. The AHIP says that young healthy ‘invinvibles’ will not gravitate toward coverage and spread the risk pool, causing an incentive for the sickest, oldest, and neediest to clamor for it — driving up costs. [↩]

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