His piece in HuffPo today is about how politicians, insurers, pharmaceutical companies, etc., have intentionally made this issue impossible for most people to get a handle on. And he lays the four main goals of the legislation:
Coverage expansion and subsidies. This is where most of the estimated trillion dollar price tag over ten years would go -- to expanding Medicaid for uninsured and lower income people and to help people who can't afford it pay on a sliding scale for insurance through new health insurance exchanges.
Insurance market reforms. This is about fair play in the insurance industry. Advocates want to eliminate practices such as refusing to cover people with pre-existing conditions and jacking up premiums if they're sick. The most controversial proposal is the
establishment of a "public option" -- a government insurance plan that would compete against private ones.
Delivery and payment reforms. This is about delivering more effective care at a lower cost. About 20 percent of the 2.5 trillion dollar annual health care price tag does not contribute to better health.
Prevention. This has been long overlooked in America. Spend a few dollars on foot care for a diabetic and you may prevent a foot amputation and thousands of dollars in expenses.
I know embarassingly little about the health care system, so I'm curious as to what you guys think about this. Clearly, the reforms mentioned above are needed, but does the current legislation go about it in the right way? Is it an efficiant use of a trillion dollars? Etc. Thanks!