
I was sitting with a group of Canadian tourists last week in an Israeli hotel when word got out that the U.S. Congress had passed a long awaited health care bill. A cheer went around the room. I found the whole thing odd since most in the room probably don't follow Canadian legislative bills that closely. Why would they care?
I'm not that concerned about how health care is delivered in America or Germany or Gabon. I can only explain it as liberal Canadians rejoicing over the adoption of a liberal piece of legislation by the U.S. Only I think they even have that wrong. This isn't analogous to the Medical Care Act (1966) or the Canada Health Act (1984) which introduced government-run health insurance in Canada with comprehensive coverage, universality and portability. These features provide all Canadians with adequate level of heath care and do not exist in the U.S.
The U.S.health care bill is little more than a watered-down corporate bailout disguised as law and purposely mislabeled reform. The passage of this bill has been hailed as historic. But all I can see is a lot of politicians dealing in bad faith, whittling away at the idea of health reform. I see Democrats who threw every special interest group, progressive cause, and minority under the bus in order to make this bill more palatable to Republicans who were never going to vote for it in the first place--and who, in the end, didn't.
The bill has no real cost controls and almost no enforcement and does not create competition. And it does nothing to address the real flaws in the American health care system, like lowering premiums. 15 million Americans who still won't have medical coverage after this "reform." And many who are now covered are only covered because they're now mandated to buy health insurance or else face a 2% penalty from the IRS. I see employers now switching to plans with higher co-pays and fewer covered services because of the excise tax.
Maybe the excitement around the bill passage is because people expect that Congress will be "fixing it later". But realistically, politicians are going to wipe their hands, say "Job done," and never touch this political hot potato again.










