[net-gold] HEALTH CARE REFORM : UNITED STATES: Health-Care Overhaul Begins Now

  • From: "David P. Dillard" <jwne@xxxxxxxxxx>
  • To: Net-Gold <Net-Gold@xxxxxxxxxxxxxxx>, Temple University Net-Gold Archive <net-gold@xxxxxxxxxxxxxxxxxxx>, Temple Gold Discussion Group <TEMPLE-GOLD@xxxxxxxxxxxxxxxxxxx>, Net-Gold <net-gold@xxxxxxxxxxxxxxxx>, Sean Grigsby <myarchives1@xxxxxxxxxxxxxxx>, Educator Gold <Educator-Gold@xxxxxxxxxxxxxxx>, Educator Gold <Educator-Gold@xxxxxxxxxxxxxxxx>, K12AdminLIFE <K12AdminLIFE@xxxxxxxxxxxxxxx>, Net-Platinum <net-platinum@xxxxxxxxxxxxxxx>, NetGold <netgold@xxxxxxxxxxxxxxx>, "Net-Gold @ Nabble" <ml-node+3172864-337556105@xxxxxxxxxxxxx>, K-12ADMINLIFE <K12ADMIN@xxxxxxxxxxxxxxxxxxx>, MediaMentor <mediamentor@xxxxxxxxxxxxxxx>, Digital Divide Diversity MLS <mls-digitaldivide@xxxxxxxxxxxxxxx>, net-gold@xxxxxxxxxxxxx
  • Date: Mon, 5 Apr 2010 07:38:10 -0400 (EDT)



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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
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  • » [net-gold] HEALTH CARE REFORM : UNITED STATES: Health-Care Overhaul Begins Now - David P. Dillard