Wednesday, November 25, 2009

The bottom line on health care reform

Whether you argue health care reform is really about moral values or the fact that the current system is literally going bankrupt, it's difficult to logically oppose changing the system. A recent analysis by Ron Brownstein in The Atlantic finds that health care economists across the political spectrum agree that the Reid bill being debate in the Senate is the best shot we have at fixing the broken system:
When I reached Jonathan Gruber on Thursday, he was working his way, page by laborious page, through the mammoth health care bill Senate Majority Leader Harry Reid had unveiled just a few hours earlier. Gruber is a leading health economist at the Massachusetts Institute of Technology who is consulted by politicians in both parties. He was one of almost two dozen top economists who sent President Obama a letter earlier this month insisting that reform won't succeed unless it "bends the curve" in the long-term growth of health care costs. And, on that front, Gruber likes what he sees in the Reid proposal. Actually he likes it a lot.

"I'm sort of a known skeptic on this stuff," Gruber told me. "My summary is it's really hard to figure out how to bend the cost curve, but I can't think of a thing to try that they didn't try. They really make the best effort anyone has ever made. Everything is in here....I can't think of anything I'd do that they are not doing in the bill. You couldn't have done better than they are doing."

Gruber may be especially effusive. But the Senate blueprint, which faces its first votes tonight, also is winning praise from other leading health reformers like Mark McClellan, the former director of the Center for Medicare and Medicaid Services under George W. Bush and Len Nichols, health policy director at the centrist New America Foundation. "The bottom line," Nichols says, "is the legislation is sending a signal that business as usual [in the medical system] is going to end."
More from Steve Benen at Political Animal.

PS: Republicans love criticizing the length of the bill, as if that's a valid argument. Legislative bills are printed up with huge margins, large font, numbered lines and double spacing. This causes them to be much lengthier than typical reading material. A recent analysis by the AP finds that the length of the healthcare reform bill is actually about 209 normal pages:
Actually, Leo Tolstoy's tome [War and Peace] is longer than either bill. Full translated versions are nearly twice as long.

The bill passed by the House is 319,145 words. The Senate bill is 318,512 words, shorter than the House version despite consuming more paper. Various versions of Tolstoy's novel are 560,000 to 670,000 words. Bush's education act tallied more than 280,000 words.

By now, the full draft of Reid's bill that had circulated in the corridors and landed so prominently on Republican desks has been published in the Congressional Record in the official and conventional manner.

The type is small and tight. No hernias will be caused by moving this rendering of the bill around. Unfurling it on the Capitol steps would not be much of a spectacle.

It's 209 pages.
That's less than Palin's new 400+ page book.