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March 24, 2010



I agree the three legged stool analogy you mention does make repeal unlikely and very structurally difficult - you can’t get rid of the mandate and leave the others in place. But the GOP has little option but to push for it or their base, reality minded or not, are likely to be mad.

It appears to me the death spiral for private insurers is at its tipping point already, as I suspect that now that a law exists the public option will soon be proposed, and this will soon make it impossible for private insurers to compete. This seems to me like the logical consequence of the three - legged stool, as I expect people to continue to act like humans and respond to incentives.


The more realistic life of this insurance reform, not healthcare reform...is that it will be declaired unconstitutional by a conservative Supream Court. I've read a number of articles that state that is a bogus potential, yet they are largely propaganda for the left and don't face the true constitutional questions at hand...

This is a bad bill, corrupt from the inside out! The first problem is that it is replete with legal hubris. I really struggle to understand the legal mind. Laws protect us from really bad things by setting limits, but they are very poor instructors. Can you imagine hiring the best refrees as NBA coaches? That is what this healthcare bill assumes. That the rule setters know how to play the game better than the professionals. So from the beginning we can assume we are going to get a worse game.
Then this bill barely eeks out a way to pay for itself via ponzi scheme 6 years of benefit for 10 years of tax... In reality the legislative laws beginning in 1972 with the anti-kickback law, and followed by Stark Law in 1992, 2002, 2006... are main contributors to the rapidly increasing cost of healthcare. We all make decisions on products and services to buy based on the cost for quality. This makes winners of those who serve us best and most efficiently. Yet every law Congress has passed about healthcare has continued to break that equation, distancing providers of care from quality consideration, and patients from cost consideration... No wonder costs have shot through the roof.

These guys don't care if it's practical or even possible to repeal the bill, they just want people to THINK they can repeal, so they'll vote. Once in office, there will be no serious attempt to repeal. If the GOP plays this right, they'll have another wedge issue to distract us, while they rob the piggy bank!

Craig - Great Swift-ian satire!

The Dems just passed a fiscally irresponsible healthcare bill (not to mention the previous stimulus et. al.) and it's the GOP robbing the piggy bank!

Good one. ;-)

WSJ addresses this issue here, basically agreeing GOP is very unlikely to deliver on full appeal, but still may have options:


A death spiral for private health insurance companies leads only one place: nationalization of health insurance. It should be pointed out to everyone that this is the end result of proposed Republican policies, that their solution amounts to eventual COMPLETE socialization of health insurance.

A repeal is unlikely, but they can change pieces over time. As well, they can simply starve some portions of bill by not funding it.

Republicans will likely play the 'repeal' card because it will excite voters (assuming the sentiment of the majority favors a complete repeal). The truth is, most people are for some parts of the legislation, but we could have done without the 2300 pages! And add in the additional 150 pages for the "Dr. Fix" that will be voted on next.

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