There are a lot of things wrong with the 2009/10 version of Health Care reform. The process was horrific: backroom deals for votes in exchange for “favors,” a glaring absence of tort reform, no true drug pricing pressure, and it’s still unclear whether insurance companies will actually have to truly compete. A complete lack of bi-partisanship on the bill is partially to blame for all these failures and why the more meaty issues were left unaddressed — moving from an employer based system to a consumer driven one, shifting towards bundling as a pricing model, etc.
However, nothing is so wrong with this version of Health Care reform that would make it preferable to doing nothing. The status quo guarantees $35+ trillion in additional government debt in the coming decades due to shortfalls in Medicare and Medicaid. The status quo guarantees that many more small businesses will have to shutter and larger enterprises will accelerate their movement of jobs overseas. Perhaps worst of all, the status quo guarantees to continue to devastate the lives of millions of Americans and thousands of families in Southern Ohio. With mounting job losses and growing job insecurity, families are increasingly going without coverage, without care of any kind, hoping that things somehow work out. Unfortunately hope is not an effective strategy and the leading cause of bankruptcies in America (medical bills) will only cast a larger shadow.
This 09/10 version of reform is just the latest in a long line– Nixon, Carter & Clinton all tried, and failed. In that time, insurance premiums for families and businesses have only skyrocketed. We must act now to reform the system. This bill is certainly not perfect. I’ve gone on the record with my preference for the bipartisan Wyden-Bennett Healthy Americans Act. Unfortunately, that bill did not receive the support needed to move forward. Yet still, the current legislation has a number of things to be pleased about– ending discrimination based on pre-existing conditions, creating insurance exchanges, and, most importantly, a lot of experiments and pilot programs to work on cutting costs. This bill isn’t perfect, but given that inaction will bankrupt America, close more American businesses, and continue to devastate American families already in crisis– we must act now to do what we can.