I think I have is straight now.
There is 1 major House of Represenatives Bill
There are 2 major Senate Bills – HELP and the Senate Finance Committee Bill.
There are the July proposed reimbursement and regulatory changes proposed by CMS where health services are is reimbursed and regulated differently depending on where the exact same health service is delivered (private practice vs. hospital vs. outpatient hospital department).
Then there are a number of other healthcare reform related bills that have not been even reported on in the media.
Our elected officials are offended by the idea of reading what they are voting on.
Debate is limited and voters are just not being heard. Partly because the system cannot handle the volume of communications and partly because representatives prefer to spend their time with campaign donors and partly because of the rush to passage without voters being let in on the process.
The CMS proposals were published in the federal register in July and are open for comment. The Congressional Bills are *not* printed and available for people to read. None are written in plain English so as to allow the lay reader to be able to understand the full implications (e.g., amending section 28, paragraph (a)(i)(L)(2) to add the word “shall” instead of full text or deleting what is existing and creating wholly new law). Even expert readers cannot possibly read and understand all of the implications of the 1000′s of pages in less than 90 days.
There are always unintended consequences, biases, powerful lobbies and mistakes involved in passing legislation. Congress and the Executive Branch do not care.
Private Insurance companies will still exist and be able to make billions of dollars on a broken health care system that is only going to get more complicated.
Medical school is still expensive. Student loans are still expensive.
There is still no mechanism for treat doctors like humans who make mistakes and no mechanism to weed out the bad and crooked doctors without persecuting all the other good ones.
Preventative care is still not a priority.
Large numbers of Americans will still be obese.
People who abuse their bodies will still cost those who don’t.
People who don’t have insurance will still cost those who do and the taxpayers. Any attempt to “fine” or “incent” those who don’t will probably hurt those the program is intended to help because that’s what always happen in our system of passing mass law changes without real consideration and care.
Organized interests will still win over the average citizen trying to live their life.
Private insurers will continue to make billions. Campaign funds will still grow.
Not so confusing after all.
Right?