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when this thing passes "as is", don't expect improvements, corrections, repeals, or finesse anytime soon thereafter

And if it doesn't pass "as is" expect it not to pass at all, followed by noimprovements, corrections, repeals, or finesse anytime soon thereafter.

So, what would you rather have 15 years from now? The current system, or the Senate Bill?

Oh, by the way, on the no improvements hereafter point... Politico has Harry Reid, Nancy Pelosi work to save health care reform

Struggling to salvage health reform, Senate Majority Leader Harry Reid and House Speaker Nancy Pelosi have begun considering a list of changes to the Senate bill in hopes of making it acceptable to liberal House members, according to sources familiar with the situation.

The changes could be included in separate legislation that, if passed, would pave the way for House approval of the Senate bill -- a move that would preserve President Barack Obama's vision of a sweeping health reform plan.

But the move comes with political risk, because it would open Democrats up to charges that they pressed ahead with roughly the same health care bill that voters appeared to reject in the Massachusetts Senate race Tuesday. Republican Scott Brown won on a pledge to try to block Obama-style health reform.

I guess the game here is to pass the Senate Bill in the House and then continue to work on separate legislation. And the point one should not forget is that once an entitlement is given it is exceedingly hard to take away.

En un viejo país ineficiente, algo así como España entre dos guerras civiles, poseer una casa y poca hacienda y memoria ninguna. -- Gil de Biedma
by Migeru (migeru at eurotrib dot com) on Tue Jan 26th, 2010 at 03:58:18 AM EST
[ Parent ]
And the point one should not forget is that once an entitlement is given it is exceedingly hard to take away.

The worrying point is that some parts of the bill only kick in after several years. It might be easier to take away an entitlement that has only been promised, but not actually given.

by gk (g k quattro due due sette "at" gmail.com) on Tue Jan 26th, 2010 at 04:32:17 AM EST
[ Parent ]
Why does the US congress always do this sunset provision, gradual kick-in, and other assorted nonsense?

En un viejo país ineficiente, algo así como España entre dos guerras civiles, poseer una casa y poca hacienda y memoria ninguna. -- Gil de Biedma
by Migeru (migeru at eurotrib dot com) on Tue Jan 26th, 2010 at 05:24:04 AM EST
[ Parent ]
Two words: Enron accounting.

Sunset clauses mean that the accountants can pretend that some measure will be a temporary rather than recurring expense. (To be fair to Enron, this is not actually Enron accounting - it's WorldCom accounting.)

Gradual kick-ins mean that costs will only come into effect some way through the accountants' ten-year forecasts. Which, of course, permits a politician to say "it will cost only N million per year over the next ten years," when the true story is that "it will cost 0 million per year for the next three years, N million per year for the four years following that, and 2N million per year after that until the heat death of the universe."

Krugman had a nice deconstruction of these mechanics when he critiqued the Bush tax cuts back in 2001, but damned if I can find it.

- Jake

If you only spend 20 minutes of the rest of your life on economics, go spend them here.

by JakeS (JangoSierra 'at' gmail 'dot' com) on Tue Jan 26th, 2010 at 07:35:10 AM EST
[ Parent ]

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