Perhaps instead of finding every possible way to tear the system down conservatives can offer some solutions -- any solutions -- that could make the ACA a law that at least 51 percent of Americans could be proud of.
As our health care system moves from compensating providers on the basis of quantity of care to quality of care, it's very important to measure hospital performance. But a key limitation for that measurement is patient selection.
The short version of the CBO's report is: Spending's going down, but we desperately need jobs. So how did the President and Congress respond? They kept arguing about who's got the better plan for making spending go down some more.
Cost increases in health care have appropriated productivity gains and displaced wage increases contributing to middle class income stagnation, and undermining the very stability of our society. Part of the solution is to reframe the national health research agenda.
How will this health law affect the options we have and our experience when buying insurance and seeking care? Upon close examination, sadly the "benefits" of the law don't seem all that beneficial, and the costs become undeniable.
The real problem is that the big dollar incentives don't line up. The folks with the most skin in the game (insurance and pharmaceutical companies, hospitals and large medical associations) profit dearly from the status quo. More care equals more money.
Can we "solve" health care spending? The value of our health care investment is low. Quality of care is inconsistent, and life expectancy for those who have reached age 40 is short compared with other industrialized countries.