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HEALTH CARE REFORM :
UNITED STATES:
Health-Care Overhaul Begins Now
Health-Care Overhaul Begins Now
By Ezra Klein
Sunday, March 28, 2010
Washington Post
<http://www.washingtonpost.com/wp-dyn/content/
article/2010/03/26/AR2010032605600.html>
A shorter URL for the above link:
<http://tinyurl.com/yglzdjv>
As someone who has spent the past year tangled in the minutia of excise
taxes and curve bending and subsidy levels, it is good to finally say
this: With the passage of the reconciliation fixes, the health-care reform
debate is finally over. But if you're thrilled to hear that, then I also
have some bad news: Health-care reform itself is just beginning.
This bill marks an evolution, not a revolution, for our health-care
system. Whether it proves the cornerstone of a better, fairer, more
affordable system or simply another expansion of the federal welfare state
has as much to do with what happens when the law is implemented as with
what's written in the legislation.
The system will not change in a year. Even by 2014, when it is broadly
implemented, life will not change for most people. This is not
single-payer (though you wouldn't know it listening to the GOP) or the
ambitious Wyden-Bennett reforms. Come 2019, about 10 percent of Americans
will have a different insurance arrangement than they would have had
without the bill. Most of us won't notice any difference.
But right around then, the system could go one of two ways. The key is the
regulated insurance exchanges. They are where the bill's most
transformative reforms happen: Risk-adjustment payments so insurers aren't
penalized for having sicker customers, regulations so they can't
discriminate based on pre-existing conditions, and transparency
requirements so individuals can see the full cost of insurance plans and
compare them based on quality and satisfaction measures.
But they're closed to most Americans.
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The complete article may be read at the URL above.
Sincerely,
David Dillard
Temple University
(215) 204 - 4584
[log in to unmask]
<http://daviddillard.businesscard2.com>
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