When pastors Constanzo and Marisela Aguirre decided to copastor a congregation in Aurora, Illinois, they had to give up health insurance because the small congregation could not afford it. Soon the Aguirres and other Mennonite pastors may have a solution. An insurance plan created by the Mennonite Church USA would give every pastor essentially the same coverage—with larger and wealthier congregations subsidizing smaller congregations.
Longtime advocates of single-payer insurance like me are thrilled, anxious and deflated simultaneously by the state of the debate on health-care reform. The debate that we wanted has finally come, and it is coming with a legislative rush, but the plan that we wanted is being excluded from consideration. Should we hold out for the real thing, or get behind the best politically possible thing? I am for doing both: Standing up for single-payer without holding out for it exclusively; supporting a public option without denying its limitations; and hoping that a good public plan will lead eventually to real national health insurance.