Progressive to zombie legislation after midterms?

By RICHARD REECE, MD

This is a guess what the midterms, a political setback for fans of the affordable care Act (ACA), might mean for health care reform.Surveys show exit 58% of voters against the ACA and cracks begin to see progressive show that the implementation of the reform tainted quite difficult and political obstacles be it. during the campaign, Democrats, fled from the health approved reform law, most of those that support it lost and Republicans will soon pay off consultation or change many of its provisions.

First in the New England of medicine, long journal an echo chamber show these cracks the followers of the opponent.Fast is that affordable care Act, the person, contributors to the section "Perspective" by the New England Journal of Medicinehave hued the Obama health reform line, namely a step in the right direction that all good if we follow its provisions to the letter, and that their implementation is inevitable and is required to address deficiencies in our health care system will be.

In the October 28 NEJM issue, Henry Aaron, PhD, liberal Brookings Institute in Washington, D.C. sounds the alarm and silence from the Chamber say which, in fact, "Hey! maybe this thing is we don't call ACA after all to work."

He breaks ranks with conventional progressive wisdom by opening, approval the ACA fail "The midterm elections-high stakes for health policy."

Aaron is the sound of his opening paragraph:

"The stakes for health policy in the Congressional elections 2010 are more than per zuvor.Die political parties polarisiert.Politik divisions are deep.""The challenges of implementing the Act (ACA) affordable care are enorm.Die results can also determine whether his landmark legislation succeeds or fails."

Zombie legislation

And in fact, the ACA can fail, in Aaron's eyes would be an insult and a tragedy.

"The nation legislation would zombie, leave a program exchanges that bring needed improvements in individual and small group markets, may be life on works but bad, consisting of from poorly funded and understaffed State health subsidies clumsy, administered to unnecessary confusion and mandate to enforce fuel price."

This result may not be so bad.It would force sloppily written law to reconsider Congress, secured unilaterally limited by a party, unread by many of his ardent supporter and fraught with negative consequences - soaring costs, benefits and fell the coverage for millions of insured persons already surfacing 7 months after the passage.

Perhaps a little cross-party rethink stalled implementation and reverse the bad aspects of the law, is okay, before we too deep in the health reform swamp waten.vielleicht we are about to witness the untangle the ACA law.Perhaps be considered affordable care Act to account.

Richard L. Reece, MD works closely with the doctors Foundation, a 501 C 3 non-profit organization that represents 700,000 doctors in the State and county medical societies.He blogs on medinnovationblog.blogspot.com and is the author of "Obama, doctors and health reform."

November 4, 2010 |Permalink

The three core elements of the PPACA are 1) insurance mandate, 2. removal of pre-existing conditions and 3 insurance subsidies for those, the less than 4 x the FPL.

(Die_GOP_kann_versuchen,_alle_Agenturen_defund,_die_es_kann.Aber_auch_ohne_jede_Agengies_(und_auch_ohne_jede_Regierung), this three provision nor the Gesetz.vielleicht 1) may temporarily unenforceable if Government, and the IRS completely heruntergefahren.Allerdings rights through 2 transmitted) and 3) are always available, who has access to the courts.

There are many good ideas within the GOP.Leider, there is a huge divergence within this caucus Stellungnahme.verschiedene Republicans have proposed all disposal of Medicare, to coupons for the Elimination of the employer system to maintain the status quo to verteidigen.So I suspect it tooth and nail, that we see some constructive suggestions that come from this group in the next 2 years we could see wird.vielleicht some work on tort reform or small changes such as the 1099 fix, but little else.

2012 Election season has begonnen.Weder now do party all consequential, and I think no party will.Es is much easier, rant against the other side than risk criticism of trying something to tun.So only again we hear the same talking of points to halten.vielleicht it is time for now out to optimize...

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