Ms.
Pelosi was right when she said we’d find out what’s in it when Congress passes
the Affordable Care Act. I still don’t know; 2000+ pages is a lot to read. But what I do know, just by listening
to the talking heads, something fundamental has changed since March 23, 2010.
The
President signed the law Congress passed requiring us to do something they
exempted themselves from doing. And they put the I.R.S. in charge to see we all
buy what Congress is selling.
Nobody, though, realized that the NSA could read our emails and listen
to what we thought about it all.
Someone
who has read the new law, Denny Weinberg, described it as an iceberg, of which
we have just seen the tip:
. . . It is a complex array of vaguely related mechanisms,
assumptions about motivations and consequences of both harsh and subtle
incentives and penalties. Many details are dependent on unknown decisions and
solutions that would be determined in future months and years. Every part of
the act is dependent upon the perfectly performing assumptions of every other
part of the act. There has likely never been a law with so many
interdependencies and unproven dynamics . . . The
Future of American Medical Care
Icebergs,
according to recent documentary, begin with one snowflake. (PBS: The Iceberg that Sank the Titanic) In time,
an accumulation of flakes grows into an ice mountain whose hidden depths can
destroy ships that sail too close. Pride, inexperience and poor planning also
helped sink a ship that was thought to be unsinkable. (Why the Titanic Sank)
I
believe we are sailing now through dark waters, and coming close to a new giant
“program,” whose underpinnings few of us can clearly apprehend. And I am afraid
we can’t just change ships, hoping for smoother sailing.
Trying
to “fix” the problems the Affordable Care Act has generated seems like
rearranging the deck chairs on the Titanic – I believe health insurance, as we
have known it, has collided with economic, social and legal realities that are
powerful as that iceberg’s deep web that gouged the side of the Titanic. I feel
like a survivor of such a shipwreck may have felt waiting for rescue – waiting,
hoping, and trusting help is on the way for each of us.
The
rescue boats, however, may not be the
kind we had anticipated. Government-mandated life-boats may have unexpected rules and
practices.
It’s
disheartening though to listen to the explanations of how and why the roll-out
of website has only enrolled 100,000 people, and the Affordable Care Act has taken away the coverage of 5
million Americans. It’s scary . .
. not having the wherewithal to pay for healthcare always has been.
An
Answer to Fear: Idol
Worship -Me?
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