1)Tort reform- It's a travesty that nowhere in HR 3200 will you find anything addressing the costs and waste of our ludicrous med mal system. (And yes, the AMA signed off on this boondoggle without demanding some form of rectification of our Wild West malpractice system.) Trial attorneys will say, malpractice payouts represent but a fraction of total health care spending. And it's a totally disingenuous retort. What about defensive medicine? Why are we ordering unnecessary MRI's and CT scans and getting cardiology consults on 25 year olds with chest tightness? Is it because doctors are greedy (watch those tonsils!)? Or just plain stupid? No, of course not. Docs are just trying to collectively cover their asses. Here's Krauthammer:
What to do? Abolish the entire medical-malpractice system. Create a new social pool from which people injured in medical errors or accidents can draw. The adjudication would be done by medical experts, not lay juries giving away lottery prizes at the behest of the liquid-tongued John Edwardses who pocket a third of the proceeds.Reform med mal and we'll save billions. Just you watch.
2)Tax employer-provided health benefits and return the cash to individuals in the form of a tax rebate that they can use to purchase their own coverage. No longer will one feel beholden to a job one loathes because of the benefits. This one doesn't light my fire the way tort reform does (you still need a job that offers benefits in order to qualify for that rebate). And those without jobs will still be essentially "free loading" off those who are fortunate enough to have a gig with benefits.
So all is not perfect. But it's a start! At least the right is starting to creep into the light of rational discourse. There's hope yet.