As always people will froth at the mouth like rabid dogs and debates on a forum such as this one will make absolutely no difference.
What we in essence got was definitely not a good bill in any sense of the word. Yet, the problem is that we as a country have been so bought and paid for by private business interests that what we have had to do in more recent decades is to get something through and then modify it into something totally different from what it started to be.
Medicare passed by L.B.J. in the 1960's is a perfect example of this. When it came out and was originally passed it was absolute complete and total "garbage" but over time it was amended and repaired repeatedly until it at least showed some evidence that it worked.
In the end and in about ten years we will have a single pay plan and it will work.
There are numerous single pay plans worldwide. Some of these plans are better than others and some have some horrific delays on surgical procedures not deemed to be "urgent". France that country that has at times not always been our best friend has one of the best. Canada and the U.K. are not quite as good.
For routine care and maintenance it appears that all are better than what we currently have.
Right now as this is being written there are people losing their lives right and left because insurance companies are routinely denying care.
When my Mother lost her life in 2001 I had initially contacted a Southern California Law Firm over the denial of care that she had experienced and had cost her her life. The Law Firm I contacted at that time had 52 other cases pending against that same carrier for doing exactly the same thing. That law firm had in fact as a matter of record prevailed in over 200 cases against this same carrier for doing the same thing.
As part of the settlement the following things would be a requirement. 1.) There would be a "gag order" preventing me from talking about or blaming the carrier for anything and I would have to in writing absolve them of any "wrong doing". 2.) The case would take from 3-5 years in the Courts and the Company would drag it's feet endlessly and offer crap to get me to walk away.
Now, the real joy of this is that this same insurance carrier would in essence add the cost of my Mother's settlement to the premiums of others the following year and they would simply make the taking of my Mother's life a "cost of doing business".
The enemy is not the Democratic or Republican Party it is the trillion dollar per year insurance industry which has placed profits far ahead of patient care or welfare.
Current estimates are that cumulatively the medical insurance industry spent well over 12 Billion dollars in advertising nationwide to try and buy the defeat of any reform at all and any controls, regulation, or most importantly "audits" of what they were doing.
Virtually any time an industry has been "deregulated" it has ended up a major loss for the consumer.
Right now, there are numerous industries which need to be "re-regulated" and come under close "auditing" for the good of the American People. I would also include Banking and Big Oil in this same group of overpaid, underworked, "slimeballs" as well.
The price of oil per barrel is dropping and the price of fuel is rising and it is not taxes on our fuel that is doing it. Ask your local retailer and you will hear a bunch of excuses.
There are many Americans who by virtue of good health and experience are very satisfied with their medical coverage, it's cost and it's quality. There are also many Americans who have found that they have paid for decades for a service that they are no longer receiving and the provider of this service simply stonewalls them and laughs in their faces.
I have personally been through absolute hell with medical insurance providers denying coverage. I can cite example after example because my family and I have had these experiences.
Some of our more vocal friends seem to think that many of us are making all of this up. I only wish that we were.
I think that what we haver right now is total CRAP, but, it will be a start and will be revised until it has value.