The Enthusiasm Gap1

If so, this ambivalence probably reflects a growing awareness of what the reform bills will do--or, more precisely, what they won't do.
So far, the most ambitious measures are those that passed a pair of House committees in late July. They would, like all the reform plans under discussion, expand health insurance primarily by making it possible for most working-age people to get private insurance. But the changes designed to make that happen--in particular, the creation of a marketplace for buying coverage and the distribution of subsidies for people who need them--wouldn’t begin for four years.
Even when fully implemented, many million people would still lack coverage. According to the Congressional Budget Office, at the end of the next decade, 97 percent of legal residents--and 94 percent of people here overall--would have insurance. Although that would be a lot more than the percentage of insured Americans now--today 84 percent have insurance--it's not truly universal. And the coverage would not be as comprehensive as what people in other countries have. There'd still be substantial co-payments and deductibles; people could still owe thousands of dollars in out-of-pocket expenses if they get really sick.
As a fan of single-payer health insurance--a scheme that would, if properly designed, cover everybody with relatively small exposure to out-of-pocket costs--I certainly understand the ambivalence. It's tempting to think of what might have been, if only the bill writers had raised their ambitions and pushed a more pristine, more far-reaching measure.
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