by Thomas Miller in Health Affairs blog
One by one, various cars are falling off the chugging legislative locomotive of Obama-style health “reform” as it tries to climb hills that are too steep. The public plan option has checked in for rehab as a co-op and even some end-of-life counseling. Bending-the-cost-curve measures were turned upside down by the Congressional Budget Office in July. Plans to raise taxes didn’t square with a deep recession that reduced the supply of deep pockets to pick and increased the supply of voters more worried about restoring economic growth and reducing debt. Mandatory universal coverage dreams have been downscaled in size, scope, and speed.
But remaining relatively unscathed and drawing little critical attention is the seemingly benign design offered by President Obama and congressional Democrats for a national health insurance exchange.
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