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Dean is optimistic that we're ultimately going to win the fight for healthcare reform, but he thinks that the final bill Democrats run with will not receive a filibuster proof majority in the Senate, and will thus have to be pushed through Senate through reconciliation.
What about co-ops? Dean assailed co-ops as a political compromise, not a policy compromise. They are simply too small to do any good and we've tried them already with Blue Cross/Blue Shield, Dean noted. Co-ops are a political compromise to get this out of committee, but they will not work. Co-ops are not a public option.
Another question concerned framing the debate about reform. Dean said it's all about empowerment: Do we want the American people to have a full range of choices or do we want Congress and the insurance companies to decide or us? And if Congress doesn't want to give us the public option, we need to remind them that the American people voted for change last November and we want choice.
We need a system of care that focuses on providing care, not costs. That's want doctors, want too. They don't like practicing medicine with pay for service and quotas of patients to see. We don't like the quality of primary care now, and they don't want to be part of a complicated, inefficient healthcare system dominated by big corporations.
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