The Illusion of Healthcare Reform
What’s the single largest problem with passing healthcare reform in one of its current versions or proposals in Congress? The funding of currently proposed legislation for healthcare reform starts almost immediately if passed. Whether you can keep your current coverage may begin to change in as little as one year. But the reform part, good, bad or ugly does not begin until 2014.
Start paying for reform as soon as any legislation passes but wait for any perceived benefit for four years. The most troubling issue with that condition is Congress can continue to alter the game after initial passage and make ‘reform’ worse than it is right now as the public loses interest over time. If you review most legislation that moves through Congress that is what it does, alters previous legislation.
So your chances for any benefit from what proponents call reform starts with pay for no play and diminishes from there. Opponents of healthcare reform point to higher taxes, higher premiums and less choice on medical care. If they’re right, regardless of your opinion of reform, you stand to lose immediately by paying for what reform covers with no chance to benefit for at least four years. And your chances beyond that period of time are small.
So even if you live in Nebraska or Louisiana where Senators Ben Nelson (D-NE) and Mary Landrieu (D-LA) sold their yes votes on healthcare reform for Medicaid deals for their respective states, you lose. And even residents of those two states stand to lose over time regardless of initial perks for selling their votes. Another member of Congress, Rep Joseph Cao (R-LA) from the 2nd district sold his vote for healthcare on the mere promise from President Obama that he would help him with healthcare issues. Well, that’s the public version of what happened.
For something of a reality check on healthcare reform and its politics here is an excerpt and link to Kimberly A. Strassel’s take on the situation.
Stanford Matthews
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