Yes, We Did!

(courtsey of Doug Mills/The New York Times)
Where Presidents Teddy Roosevelt, Harry Truman, LBJ, Richard Nixon, and Bill Clinton failed, President Barak Obama and the Democrats in Congress have enacted the achievement of a lifetime.  While it is not a perfect bill and does not ensure coverage for everyone, it is the single biggest step towards that goal since Medicare.  As  Representative Anthony Weiner repeated during the entire 14 month process, we cannot “let the perfect be the enemy of the good.”  And they did not.

I believe that the exchanges that go into effect will eventually be the means by which almost everyone purchases health care.  It is how federal civilian employees do it now and it works really well.  Do not be surprised if you see the acceleration of the adoption of those exchanges before 2014 (coupled with a repeal of the health insurance deduction and replaced with a tax credit similar to that that was proposed by Rep. Paul Ryan (R-Wisc.) and Sen. Ron Wyden (D-Or.) and Robert Bennett (R-Ut.)).

In the words of V.P. Joe Biden: “This is a big fucking deal.”

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