Deadly Truths About the Healthcare Deform Bill

#1 - It is a planned certainty thta private insurance companies have been put on a path to Nationalization or elimination
From legal scholar Richard A. Epstein

At this point, there is a near mathematical certainty that the scheme of health insurance market regulation contemplated by the Reid bill will reduce the risk-adjusted rate of return below the level needed to keep these firms in the individual and small-group health-insurance markets. I am not aware of a single provision in the Reid Bill that looks to ensuring a minimum rate of return. And there are countless provisions in the bill that impose new obligations to cover services while eliminating the revenue sources to deal with them. It is just this combination of regulatory programs that leads the CBO to treat private health insurance issuers as part of a federal program—as though they have been subject to de facto nationalization.

#2 - From The Offical CBO report on teh Deform Bill, if history is any guide, the planned "savings" in Medicare will almost certainly come from service cuts and rationing and NOT from greater efficiencies in care delivery:

CBO expects that Medicare spending under the legislation would increase at an average annual rate of roughly 6 percent during the next two decades—well below the roughly 8 percent annual growth rate of the past two decades (excluding the effect of establishing the Medicare prescription drug benefit). Adjusting for inflation, Medicare spending per beneficiary under the legislation would increase at an average annual rate of roughly 2 percent during the next two decades—well below the roughly 4 percent annual growth rate of the past two decades. It is unclear whether such a reduction in the growth rate could be achieved, and if so, whether it would be accomplished through greater efficiencies in the delivery of health care or would reduce access to care or diminish the quality of care.