The overarching goal of health care reform was to attempt to ensure affordable access to health insurance and medical care for most Americans. It barely touches skyrocketing health-care costs and accelerates primary-care physician shortages.
The public hates health insurance companies. They believe they are greedy and put profits before people's health. This is personal for people, so many of whom have their own health insurance horror stories.
Placing caps would reduce malpractice insurers' incentives to oversee physician practice patterns and reduce incentives to manage risk in our health care system, and make health care that much riskier for all of us.
Moderate conservative Anthony Kennedy will, I'm confident, recognize that without the law, the free-market system of health insurance, so highly valued by conservatives, will implode, sooner rather than later.
Bipartisan support for Exchanges isn't surprising. When they are up and running, state Exchanges will save money for their residents by making the health insurance market more competitive and accessible, a goal that leaders from both parties can get behind.
The Vermont House of Representatives voted 94 to 49 this week to establish a Green Mountain health insurance exchange, the first step in establishing a single payer program in that State. But there's still a long way to go.
The Republican plan is heartless rationing. It won't be Medicare anymore. You can call it Medicareless, because it would no longer be the guaranteed health care program that has served our nation so well since 1965.
My understanding is that the campaign plan for 2012 is still in formation. But one critical element is clear. The campaign will be even more reliant than it was in 2008 on its grass roots ground game. Jim Messina is definitely the man for that job.
It's time to take a step back and look at the impact of health care reform over the course of its first year, and specifically focus on the new law's programs to improve our health care system for all Americans, especially our seniors.
The lobbying to change the medical-loss ratio provision in the new health care law is just one example of how special interests are working to gut the reform law while preserving the portions they like.
Whether it's a political stunt or the act of an extremist ideologue, Rick Scott is hurting real Floridians in concrete ways by bucking the health care law, including millions of people with private health insurance or Medicare benefits.