That is because huge amounts of everyone's otherwise discretionary income will be diverted from buying real products to subsidize a totally unproductive part of the economy. The sociopaths who are really running the country don't even bother talking in terms of recession/recovery anymore. They are talking about a "reset." The language they like to use to refer to the future is "the new normal," which means far fewer jobs in general, more productivity for lower wages, greatly reduced consumer spending over the long term (because they don't intend to hire people if they can help it), increasing business in the BRIC (Brazil, Russia, India, China), and in general looking to accelerate the cheap labor race to the bottom.
http://www.businessweek.com/globalbiz/content/may2009/gb20090513_256354.htm What I will be required to pay will wipe out most of my discretionary income, and there are millions in the same situation. I know because I've used the Kaiser Family Foundation to calculate $450/month that still leaves me with 30% of medical expenses to pay. And that's the House version, not the much shittier Senate version.
We are talking 8-12% of income for premiums alone, not even counting co-pays and deductibles. This is an unmitigated disaster for an economy consisting of 70% consumer spending. The subsidies reducing the cost for those lower on the income scale will come from money that could have gone to the productive economy of rebuilding our infrastructure or creating new green collar jobs. And that is assuming that the subsidies don't get cut--conservadems propose that they will if national deficit targets are not met.
Congress and the president seem almost to be from another planet when they talk about "affordable choices." To them it seems to mean that if income minus food minus rent/mortage/utilities minus transportation minus health insurance costs equals a number slightly greater than zero--VIOLA! Affordability! I'm not going to be homeless or starve, and may even be able to pay medical bills. I just won't be buying much else.
What this means for the economy at large is that more of the businesses dealing in non-essentials like bookstores, restaurants, etc. that I patronize are more likely to close. I have had to become more frugal during retirement, and that means we eat out once or twice a month, as opposed to once or twice a week when I was working. I'm letting magazine subscriptions run out and buying fewer books. Political donations have been cut in half. Already two restaurants where we used to eat have gone down. Elliott Bay Books will be moving from Pioneer Square, and is in serious financial trouble. This is a store that was founded during a major recession in 1973.
Wnen I start getting nailed for $450/month, plus the $60 for DH's Medicare Part B, a lot of things are going to end. Buying any books or magazines at all. Eating out. No online clothing shopping, just St. Vinnies and the like. Get rid of the CREDO cell phone. I might be able to spare $5 a year for DU, but no political contributions. No donations to Dem party organizations or candidates other than my volunteer time, not out of spite against Blue Dogs, but just because the money won't be there. Since DH is handy at electronics and programming, we'll probably stay connected to cyberspace, but if something craps out it will get repaired with stuff on hand or other people's cast-offs or we do without.
Multiply this by a few tens of millions for a picture of the "new normal" after insurance "reform." Still enthusiastic?