Look, I want single-payer, too. But this bill has a lot of things in it that will quickly offer substantial relief, and I'm not joining the wholesale condemnation. Even Howard Dean called it "real reform" tonight and said he'd vote for it.
There's some good things and some bad things. Actually, a lot of good - and you won't have to wait more than a few months for relief.
The bill keeps kids on their parents' insurance until age 27, there's a temporary insurance pool until the public option is operable, extension of COBRA benefits (still looking for details), steps to close the Medicare doughnut hole, a ban on lifetime coverage limits, and the end of rescissions, except in case of fraud. It also expands Medicaid.
The bill also adds a voluntary long-term care program (and if your parents have seen their insurance carriers crash and burn this year, you know what a blessing this will be). It also funds a temporary reinsurance program that subsidizes employers offering health benefits for retirees aged 55-64.
As Jane pointed out this morning, there's no requirement for generic versions of high-priced breast cancer drugs. In fact, the bill sweetens the pot for Big Pharma by extending patents on those drugs every time they make a minor change. (Like making an extended release formula.) Essentially, it's a monopoly in perpetuity. (And guess which netroots favorite voted for it? Rep. Patrick Murphy. He's got Big Pharma employing many, many voters in his district.)
Breast cancer survivors, organize! No one likes to be perceived as beating up on cancer patients.
Potentially bad: No Medicare+5. At first look, this means fewer savings - and thus, higher premiums. However, these rates will still be negotiated at a national level, and it does not preclude Medicare +5.
In a bill this complex and controversial, there are, of course, things that will make us swallow hard. From what I'm hearing so far, the subsidies are inadequate. As soon as I have concrete numbers, I'll put them up.
I'd say the subsidies are the single most productive focus for the netroots. Call your congress critter, tell him or her (or it) that the subsidies must be adequate - or else.
And if they say they have to respect the ceiling President Obama asked for, ask them why it doesn't bother them when they have to pay for wars - only health care. Tell them you will not pay more money for less coverage, that this is a deal-breaker for Democratic voters.
Send them a strong message.
UPDATE: Jamie at Intoxination cites Politico:
The House health care bill unveiled Thursday clocks in at 1,990 pages and about 400,000 words. With an estimated 10-year cost of $894 billion, that comes out to about $2.24 million per word.
I pulled out the calculator. How does this sound - $425.9 million per word? That's how much each of the 2,174 words in the authorization for the Iraq war has cost so far and the price keeps going up.