Remember when Trigger was just a horse?

The health insurance reform bill changes so often and so quickly, even within the same day, that an overwhelming sense of déjà vu has set in. Ideas that we thought were dead and buried are back again, making us wonder - is this a new idea, or haven't we heard this one before. Today, from McClatchy, it is the trigger:

Senate Majority Leader Harry Reid, D-Nev., last week said he'd move ahead with a plan that allows states to opt out within the first year, but that's failed so far to stir the eight to 12 moderates whose votes are crucial.

Gaining support is the idea of a "trigger," where the public option only would be permitted if private insurers fail to lower costs. There are lots of other ideas, however.

Only if they fail to lower costs? Kaiser Family Foundation:



In the decade just ended, premiums increased 131%, and worker contributions increased 128%, compared against a 28% rate of inflation or 38% wage increases over the same time period.

In the United States, we spend more money per person on health care than any other nation in the world. And yet, in measure after measure, we trail most industrial nations and many developing nations in health outcomes. Without government intervention, there is nothing to stop insurance companies from continuing to loot the pockets of American workers. They have shown no willingness or ability to lower premiums year after year over a long period of time. So why should we wait even longer for them to show even more years of incompetence and avarice before a government-mandate intervention can be triggered?

In fact, public insurance companies have billions - yes, billions - of reasons to continue pushing premiums up, paying executive performance bonuses, and make no efforts to cut costs or ease the pressure on working Americans.

Company	Enrollment	Outstanding Shares
UnitedHealth Group	30,300,000	1,162,420,963
WellPoint	35,300,000	484,639,194
Aetna	17,700,000	442,800,000
Humana	8,400,000	169,657,445
CIGNA	11,900,000	272,704,706
TOTAL	103,600,000	2,532,222,308

These billions of shares have to receive dividends - profits on the backs of the diseases, disorders, illnesses, and deaths of other Americans. We don't need a trigger. We don't need to wait for more evidence that these health insurance companies are unwilling and incapable of controlling costs. We can see the problem clear as day. But too many people in power are too weakened by money and corruption to do the right thing.

Exhibit A: Sen. Blanche Lincoln (D-AR). She is facing a tough re-election fight in a rare reddening state. When she is not busy being the pawn of Wal-Mart or Tyson (which is not often), she has the freedom to choose for herself what is best for her re-election chances - er, the people of Arkansas. Here is what those people told her this week - Progressive Change Campaign Committee (MOE 4%):

QUESTION: Would you favor or oppose the government offering everyone a government administered health insurance plan -- something like the Medicare coverage that people 65 and older get -- that would compete with private health insurance plans? (Wording of NYT poll)

	FAVOR	OPPOSE	NOT SURE
ALL	56	37	7

QUESTION: If Blanche Lincoln votes against a public option as part of health care reform, will that make you more likely or less likely to vote for her in the 2010 general election or would it have no real effect on your vote?

	MORE	LESS	NO EFFECT
ALL	16	29	55

QUESTION: If Blanche Lincoln joined Republican senators in filibustering and killing a health care reform bill because it had a public health insurance option, would that make you more likely or less likely to vote for her in the 2010 general election or would it have no real effect on your vote?

	MORE	LESS	NO EFFECT
ALL	15	32	53

A clear majority of Arkansans favor a plan like Medicare for all. And when it comes to the question of whether Lincoln should oppose a public option (-13) or join Republicans in "filibustering"* (-17), the affect on voters is similar enough to fall within the margin of error. Yet in this rare alignment of planets - the right thing to do AND the will of the electorate - Lincoln still seems to be in search of her spine. (So does her colleague Mark Pryor - he's not even up for re-election this time, but is still saying he will be guided by what Lincoln does.)

[* - until "filibusters" look like this again, I'll be using the quotation marks.]

And why is Lincoln still searching for her spine? Because in the 2009-2010 election cycle, only two people in the entire country have taken more from the health industry than Blanche Lincoln's $427,950 - Sen. Harry Reid (D-NV) and Senate candidate and former governor Charlie Crist (R-FL).

Blanche - get off the fence and out from in front of the cameras, and do the right thing. Who knows? It might just get you re-elected.