Obama fans, please address this one narrow issue

[Archaea]

Why are you not concerned about the problems to be created by this National Health Insurance Exchange?

I'm not making it up.

Here's the link: http://www.barackobama.com/pdf/issue...reFullPlan.pdf

The Obama-Biden plan will create a
National Health Insurance Exchange to help individuals purchase new affordable health care options if they are
uninsured or want new health insurance. Through the Exchange, any American will have the opportunity to
enroll in the new public plan or an approved private plan, and income-based sliding scale tax credits will be
AFFORDABLE, ACCESSIBLE COVERAGE OPTIONS FOR ALL
provided for people and families who need it. Insurers would have to issue every applicant a policy and charge
fair and stable premiums that will not depend upon health status. The Exchange will require that all the plans
offered are at least as generous as the new public plan and meet the same standards for quality and efficiency.
Insurers would be required to justify an above-average premium increase to the Exchange. The Exchange
would evaluate plans and make the differences among the plans, including cost of services, transparent.
The Exchange will have the following features:
�� Comprehensive benefits. The benefit package will be similar to that offered through the Federal
Employees Health Benefits Program (FEHBP), the program through which Members of Congress get
their own health care. Plans will include coverage of all essential medical services, including preventive,
maternity and mental health care.
�� Affordable premiums, co-pays and deductibles. Participants will be charged fair premiums and
minimal co-pays for deductibles for preventive services.
�� Simplified paperwork. The plan will simplify paperwork for providers and will increase savings to the
system overall.
�� Easy enrollment. All Exchange health insurance plans will be simple to enroll in and provide ready
access to coverage.
�� Portability and choice. Participants will be able to move from job to job without changing or
jeopardizing their health care coverage.
�� Quality and efficiency. Participating hospitals and providers that participate in the new public plan will
be required to collect and report data to ensure that standards for health care quality, health information
technology and administration are being met.

The Plan sounds like Santa Claus, all this with no hassles and no costs to anybody. Wow how generous.

Does anybody remember when Medicare was created?

Has anybody researched the representations made during that debate?

Has anybody here dealt with the Department of HHS?

Who here is naive enough to believe this organization will be wonderful?

Who here that routinely deals with government agencies finds them to be well-run, efficient and friendly?

Has anybody ever had to work with the SSA on disability issues? Is that a fun and efficient experience?

Yes I'm sounding like a broken record, but is there not one soul who is concerned about the mess to be created with yet another bureaucracy?

And for you organizational behavioral types, what are the general rules of operations for bureaucracy regarding funding and staffing? If you know the answers, you'll see why it ties into my question immediately above.