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The last time the House of Representatives tried to pass health care reform was at the beginning of the Clinton administration. That effort failed miserably, as committees squabbled over jurisdiction. This time, three committees produced nearly identical versions of legislation, putting those turf battles (mostly) aside. They got their work done quickly--well in advance of a self-imposed August deadline. And, most important, the legislation they produced was good.
Do not be fooled by the Beltway conventional wisdom, which has repeatedly treated House legislation as inferior to its counterpart in the Senate. If anything, the opposite is true. Should the House bill or something like it become law, the vast majority of Americans would have health insurance--protecting them from financial calamity and giving them access to medical care when they need it.
Republicans have repeatedly mocked the House bill because of its length. But there is a reason the bill needs so many pages: It's the product of thinking carefully about how best to design a health care system. The legislation has its problems; all legislation does. But at the level of detail--like, for example, the all-important question of how to design insurance exchanges--the House bill holds up extremely well.
And the bill pays for itself--not just in the first ten years, as the original version did, but in the future, as well. It may not do as much to reduce the overall cost of health care as the Senate bill would; in the view of most experts, that's the House bill's chief weakness. But it at least makes moves in the direction of cost-control.
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" ... there are no conservative or reactionary ideas in general circulation, merely irritable mental gestures which seek to resemble ideas."