by Michael Blim
Now begins the end game of the health care reform legislation. The President has spoken, and Senator Baucus has finally made his play. The results could not be more disappointing.
These latest contributions to the health debate leave millions of people uncovered, and everyone else save people on Medicare and Medicaid and patients of the Veterans Administration health system still contracting insurance for care and cost with the same insurers that helped create the health care morass we have now. For our pains, those of us now insured or who will be insured under pending legislation, receive the guarantee that our coverage cannot be cancelled because of illness, pre-existing condition, or job loss. While important guarantees, they do nothing to answer how we will pay for rising premiums or combat the war for payment or reimbursement raged by providers and insurers even on people now adequately insured.
But the bottom line is that these latest proposals are neither universal nor fair: They do not guarantee every person equal access to medical care s/he needs. The proposals invite the creation of a plethora of complicated rules and regulations that will render difficult or impossible redress by ordinary citizens.
Some have reminded us of the old adage that law-making is a little like sausage-making. The result may be good, but you wouldn’t want to see how it’s done. In this instance, the probable result is as ugly as the process.
Try this analogy instead: our health system is like the Gordian knot. Only cutting it asunder will work. The Democratic Congress and President Obama have been trying carefully to untie it. This is a mission that can never succeed.
