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The 80/20 rule is at work here. We've expended 80% of the effort toward real reform, and we've gotten 20% of the way there.
Once the public realizes just what is in this - the end of "pre-existing conditions", the end of recission, a cap on out-of-pocket expenses (essentially, and end to the most egregious practices), it will be politically impossible to go back to what we had - only to go forward. And clearing this initial hurdle will make futher reform that much easier - the other 80% of the way will only take 20% of the effort. Bear in mind, Social Security, as originally passed, would have been considered a steaming POS by today's standards - as would the original version of Medicare - but got amended, expanded and improved, and it became a political 3rd rail - as has Medicare. It is my opinion that this version of HCR will go the same route.
Is this a perfect bill? HELL, no! Is this even a good bill? Not a chance. Is it an absolutely necessary first step? Bet your ass. Because until we clear the first hurdle, single-payer (the ultimate goal) is not going to happen. Period. It SHOULD have already happened - stipulated. But there is an enormous gulf - especially in politics - between "should" and "is". Unfortunately, "is" wins about 99.99999999% of these battles.
So being an incurable pragmatist, I'll take this HCR law as a victory - the first in a series that need winning.
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