College Republicans and College Democrats debated the ins and outs of health care reform for two hours in the Roone Arledge Cinema on Wednesday night. The debate, hosted by the Columbia Political Union, touched on issues from the financial potential of a public option to the regulation of private insurance companies and occasionally broke down into a raucous audience free for all.
The Republicans opened by acknowledging that America’s health care system is broken, but framed its problems around government interference and over regulation in the private insurance market. Among their favorite arguments was the idea that the requirement that private insurance companies run separate businesses in each state causes inefficiency. According to college Republicans, if health insurance were deregulated to the point at which companies could operate nationally, the private insurance industry could compete with Medicare and eliminate the need for a government health care system. Such a system, they fear, would encourage companies to drop health insurance for full time employees. While the Republicans presented a consistently solid argument, they at times vilified Democrats as desiring a totalitarian control of health in America. As Republican Jon Hollander said, “the liberal Democrats in Congress are hell bent on using a public health insurance option to achieve a government takeover of the American health care industry”.
The Democrats sought to undercut their opponents’ argument by championing the benefits of preventive treatment. They argued that if we catch serious disease early, it will be less expensive to treat. Armed with numbers and statistics to substantiate his argument, College Democrat Jake Grumbacher told the audience, “it is actually cheaper to insure everyone than to not insure everyone… the cost of emergency room care for those without insurance costs every person $2200 per year, $100 billion total. That is ridiculous”. One of the Democrats’ strongest moments came when they responded that the deregulation of the private insurance market will lead to private insurers setting up shop in states with laws that allow them to drop the sickest and most costly patients. Their argument was significantly undermined though, by brash declarations about the evil nature of corporate America. At one point, Grumbacher sought to drive his argument home declaring, “The insurance companies do not have our interests at heart. Making a profit literally means not giving us care. Okay?”. The over reliance on percentages and statistics from both sides, especially the quote that over 40,000 people die each year from a lack of proper coverage, tried to shock the audience to one side more than it engaged the argument.
While the groups were able to deliberate on the major talking points of the issue, discussion rarely progressed beyond one or two responses to a question. Numbers were hurled faster than anyone could comprehend and it was often assumed that the audience had a strong background on the debate. All hell broke loose at one point when the audience started a shouting match about the interpretation of a Congressional Budget Office report that had been released that day. Even so, the high points of the debate provided a sense of hope for this immense web of problems. Both sides managed to agree that insurance companies must offer coverage to those with preexisting conditions. In the end, the event was worthwhile, even if it was a little disorganized.
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