The House Health Care Bill is 1990 Pages

Washington 'Shall' Control Your Healthcare
By David Harsanyi

The King James version of the Bible runs more than 600 pages and is crammed with celestial regulations. Newton's Principia Mathematica distilled many of the rules of physics in a mere 974 pages.

Neither have anything on Nancy Pelosi's new fiendishly entertaining health-care opus, which tops 1,900 pages.

So curl up by a fire with a fifth of whiskey and just dive in.

But drink quickly. In the new world, your insurance choices will be tethered to decisions made by people with Orwellian titles ("1984" was only 268 pages!) like the "Health Choices Commissioner" or "Inspector General for the Health Choices Administration."

You will, of course, need to be plastered to buy Pelosi's fantastical proposition that 450,000 words of new regulations, rules, mandates, penalties, price controls, taxes and bureaucracy will have the transformative power to "provide affordable, quality health care for all Americans and reduce the growth in health care spending . . . ."

It's going to take some time to deconstruct this lengthy masterpiece, but as you flip through the pages of the House bill, you will notice the word "regulation" appears 181 times. "Tax" is there 214 times. "Fees," 103 times. As we all know, nothing says "affordability" like higher taxes and fees.

The word "shall" - as in "must" or "required to" - appears over 3,000 times. The word, alas, is never preceded by the patriotic phrase "mind our own freaking business." Not once.

To vote for the bill, a legislator must believe a $1 trillion price tag is "revenue neutral," or that it alleviates any of the pain higher costs bring to the average American. This would require alcohol.

Real competition, as far as anyone can tell, is antithetical to the authors of this bill. Remember, you can purchase oranges from Florida and whiskey from Kentucky, yet you're prohibited from buying health insurance from anywhere outside your state . . . so sayeth Nancy Pelosi.

Instead of creating a new market with interstate trade, what we get is the institution of the pleasant-sounding "Health Insurance Exchange," which exists, it seems, only to accommodate a non-competitive, government-run insurance option.

Now, finding a name for a state-run program without offending the lingering capitalistic sensibilities of bourgeoisie has been problematic. So Pelosi went with the innocuous "consumer option" - known for a fleeting moment as the "competitive option" and popularly as the "public option." Whatever your preference is, it's the option that leads to a single-payer insurance program.

Democrats say we can save billions by funding a plan that uses billions of wasted tax dollars from another public plan that we already supplement with billions. Make sense?

In actuality, we pay for all this by "cost sharing," or "sharing the cost" of insuring everyone through higher prices and taxes. But no fear. The legislation taxes "the rich." The bill doesn't index the tax to inflation so more of you will be on the hook as inflation rises due to the tragically irresponsible behavior of Congress and the White House. The rich - many of them small-business owners - are already set to see their rates go up in 2010.

Hey, who needs those jerks to create real jobs when we have Washington pretending to do it?

All of this, as Madame Speaker says, constitutes a "a historic moment for our nation and families." True. No legislation in modern American history compares when in comes to injecting itself into the everyday decisions of the citizen.

And few can compete with its deception. The bill's intentions are cloaked in euphemisms and it is teeming with ulterior motives, all cobbled together in closed-door meetings where industry payoffs are offered using taxpayer dollars to facilitate a power grab of unprecedented cost.

All of it, rolled right into a neat 1,900 pages.
 
*shrug* The rules for dungeons and dragons, with expansions, probably come to thousands of pages. And it's just a game. Unfair comparison? No shit!

These things are huge because they anticipate crafty human beings, left, right, center, and unaligned, will try to game the system.
 
Quote from Ricter:

These things are huge because they anticipate crafty human beings, left, right, center, and unaligned, will try to game the system.
Given the billions in fraud in other government <s>run</s> ruined programs, sounds like it needs to be 199,000 pages long then.
 
Quote from Lucrum:

Given the billions in fraud in other government <s>run</s> ruined programs, sounds like it needs to be 199,000 pages long then.

Given the trillions in undetected fraud in business, sounds like 1900 pages is fantastically concise.
 
O.K., folks, this is it. It’s the defining moment for health care reform.

Past efforts to give Americans what citizens of every other advanced nation already have — guaranteed access to essential care — have ended not with a bang, but with a whimper, usually dying in committee without ever making it to a vote.

But this time, broadly similar health-care bills have made it through multiple committees in both houses of Congress. And on Thursday, Nancy Pelosi, the speaker of the House, unveiled the legislation that she will send to the House floor, where it will almost surely pass. It’s not a perfect bill, by a long shot, but it’s a much stronger bill than almost anyone expected to emerge even a few weeks ago. And it would lead to near-universal coverage.

As a result, everyone in the political class — by which I mean politicians, people in the news media, and so on, basically whoever is in a position to influence the final stage of this legislative marathon — now has to make a choice. The seemingly impossible dream of fundamental health reform is just a few steps away from becoming reality, and each player has to decide whether he or she is going to help it across the finish line or stand in its way.

For conservatives, of course, it’s an easy decision: They don’t want Americans to have universal coverage, and they don’t want President Obama to succeed.

For progressives, it’s a slightly more difficult decision: They want universal care, and they want the president to succeed — but the proposed legislation falls far short of their ideal. There are still some reform advocates who won’t accept anything short of a full transition to Medicare for all as opposed to a hybrid, compromise system that relies heavily on private insurers. And even those who have reconciled themselves to the political realities are disappointed that the bill doesn’t include a “strong” public option, with payment rates linked to those set by Medicare.

But the bill does include a “medium-strength” public option, in which the public plan would negotiate payment rates — defying the predictions of pundits who have repeatedly declared any kind of public-option plan dead. It also includes more generous subsidies than expected, making it easier for lower-income families to afford coverage. And according to Congressional Budget Office estimates, almost everyone — 96 percent of legal residents too young to receive Medicare — would get health insurance.

So should progressives get behind this plan? Yes. And they probably will.

The people who really have to make up their minds, then, are those in between, the self-proclaimed centrists.

The odd thing about this group is that while its members are clearly uncomfortable with the idea of passing health care reform, they’re having a hard time explaining exactly what their problem is. Or to be more precise and less polite, they have been attacking proposed legislation for doing things it doesn’t and for not doing things it does.

Thus, Senator Joseph Lieberman of Connecticut says, “I want to be able to vote for a health bill, but my top concern is the deficit.” That would be a serious objection to the proposals currently on the table if they would, in fact, increase the deficit. But they wouldn’t, at least according to the Congressional Budget Office, which estimates that the House bill, in particular, would actually reduce the deficit by $100 billion over the next decade.

Or consider the remarkable exchange that took place this week between Peter Orszag, the White House budget director, and Fred Hiatt, The Washington Post’s opinion editor. Mr. Hiatt had criticized Congress for not taking what he considers the necessary steps to control health-care costs — namely, taxing high-cost insurance plans and establishing an independent Medicare commission. Writing on the budget office blog — yes, there is one, and it’s essential reading — Mr. Orszag pointed out, not too gently, that the Senate Finance Committee’s bill actually includes both of the allegedly missing measures.

I won’t try to psychoanalyze the “naysayers,” as Mr. Orszag describes them. I’d just urge them to take a good hard look in the mirror. If they really want to align themselves with the hard-line conservatives, if they just want to kill health reform, so be it. But they shouldn’t hide behind claims that they really, truly would support health care reform if only it were better designed.

For this is the moment of truth. The political environment is as favorable for reform as it’s likely to get. The legislation on the table isn’t perfect, but it’s as good as anyone could reasonably have expected. History is about to be made — and everyone has to decide which side they’re on.

http://www.nytimes.com/2009/10/30/opinion/30krugman.html?em
 
Quote from Arnie:

Then just put everyone on Medicare/Medicade.
Quote from Scataphagos:

A point which eludes the Administration. Via Medicare/Medicade the structure to provide care for EVERYBODY is already in place. All they'd need to do is figure out how to price and pay for it all.

But nooooooo.... gotta have "Obamacare"... which isn't REALLY about medical treatment at all... it's about a gigantic power grab.
A point that eluded both of you is that Medicare has too much of an unfunded liability (read: biggest hole in future budgets, about 70% of projected deficit will come from Medicare). Medicare is a LOT more expensive than this proposed plan, which is revenue neutral or slightly positive in projected savings.
 
Quote from Ricter:

Not at all. My point is that complex systems generate complex user's manuals.

Just face it. This bill is a mess. If you think healthcare is bad now, wait until this bill passes. You are going to need a team of 6 lawyers and 2 MDs to know what the hell is going on.

We all know the Congress is filled with lawyers. Now think for a minute, who benefits the most from having an overly complex healthcare system. Lawyers do. They did the same thing with the tax code. They made the damn thing so complicated that they made a whole new industry for lawyers and CPAs. I wonder why.
 
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