@stranger_in_a_strange_land, I feel like I should respond to you point by point because you say many things that are just plain wrong.
• The current bill does not address the basic problems with the system: multiple public and private administrative systems,
How would you address these problems in your ideal bill, beyond urging the use of electronic records and creating a panel for harmonizing these systems and suggesting ideal medicine techniques across the board?
• pharmaceutical prices out of control,
Really? There’s a provision mandating transparency for consumer drug pricing which will bring down costs. source What’s your solution?
• high cost of malpractice insurance,
This is a tiny fraction of health care costs and it is part and parcel of the way that civil liabilities are handled in the American justice system. Tort reform is a complex issue and it is not a panacea. What’s your solution?
• huge variations in the coverage of health care policies.
This is perhaps the silliest claim, as the bill introduces sweeping regulation that mandates that policies must cover everyone, even people with pre-existing conditions.
• This bill is also laden with pork for special interest groups.
Cite it. And the small amount of money we gave to Nebraska to override its Medicaid issue was worth it for Nelson’s vote.
• The last straw, IMHO, was removal of “public option” from the bill.
See previous post. I agree this is bad, but the Senate bill introduces a private but nonprofit insurance entity that will, hopefully, provide the same competition to bring to for-profit prices as the public option. That was the entire function of the public option. It probably won’t work as well, but it’s something. And the public option was never the white whale you make it out to be.
• As far as I can see, there is no cap on premiums as a percentage of income.
Then you haven’t looked. “The Senate bill’s out-of-pocket cap of $11,900 is on a family plan. An individual plan would have a $5,950 cap.” source
• The working poor and middle class are getting screwed again.
Support this assertion. It is nonsensical on the face of it because the bill provides 900 billion in subsidies for working poor and middle class who can’t afford insurance.
• The Democrats were so desperate to pass something that they have overlooked the basic problem.
The basic problem is extremely complicated and anyone who says otherwise is just looking for easy answers.
• What is needed is a standardized health system, if not single-payer, at least single coverage.
In your ideal fantasyland. Unfortunately, politics are a reality and this is simply not an option. I’d like it to be, but it’s not, and part of being a responsible adult means dealing with reality and what is realistically and politically possible instead of fantasy.
And as other countries with universal but non-single-payer insurance (such as Switzerland) show, it is not a given that single-pay is “what is needed.” It’s an easy answer, though.
I look forward to your response, and I hope you are either willing to defend your assertions or admit they are unfounded.