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Tuesday, December 22, 2009

Health care reform reality- they just can't make this stuff up

As details become available on the odd mix of compromises required to buy the votes of key senators, it becomes clear that the time line which has been the driver of this process is viewed in terms of days to weeks, not years to decades. There is essentially no priority on creating an sort of workable system in the long term.

How else can one view the incorporation of the provisions to provide specific sweetheart deals for specific states. There is a certain irony that Nebraska, a state whose motto is "Equality before the law", gets a deal whereby the rest of the country picks up the tab for the expanded Medicaid mandate. Who can or will be held to this promise? How in the world can this be constitutional? Why not just have income taxes accrue to those who live in states who voted against you if you have the votes to pull this off?

The odd and unjustifiable preferences go on and on. There is an excise tax on "lavish" plans except for 17 states (I wonder how many have democratic senators?). Is there a precedent for federal taxes levied only on selected states? Hawaii gets a pass on all of this. How does that work?

Medicare advantage is going away...sort of. However, Florida residents as well as some individuals in Pennsylvania, New York, and Oregon will be grandfathered out of being impacted by these cuts. What about equal protection under the law? Is this a dead concept?

I can't help but think of George Orwell's Animal farm. Everyone is equal but some are more equal than others. Harry Reid believes it is all about compromise. I am not sure that he entirely understands just what he is compromising. Perhaps he does.

1 comment:

  1. Napolitano's NightmareJanuary 13, 2010 at 6:30 PM

    Oh, I think Harry Reid understands what he is compromising completely. This medical bill has very little if anything to do with saving money or improving the availability or the quality of care. It has all to do with Harry Reid's, Nancy Pelosi's, and Barrack Hussein Obama's (and others' in the Federal Government) quest for power.
    You asked how this can be Constitutional. It isn't. In fact, I don't think the leaders that are driving the medical reform bill have considered the constitution in over a decade; at least not until one of their own lawyers intervene to remind them that their ideas for power grabs will hit Constitutional snags.