I'll say this:
What's possible to happen after the fallout of the passing of this reform, is that most of the big money players will begin to pull out of the United States even more then they already have. I can't imagine the wealthy remaining in a country where they now have to support the least able of society. Of course, you may say that most countries have NHS - but remember, most US cities are larger then European countries. Think about that for a moment. Even if a country taxes you harder over there, they still would need significantly less then what the US gvt will start asking for.
Further, we might see the abandonment of old job markets - a blow that would potentially come at the wrong time. Unemployment has just started to lower, but I can imagine large scale pharmaceuticals selling out to third world counties to avoid the many regulations piling up here. These means less funding for hospitals, and their eventual closure. Further, the big chain stores could close down or restrict operations here, rather then take a loss in health care costs. Think about McDonalds, with share holds in almost every country in the world. Again, even in countries with NHS, the relative payout is miniscule then what they could expect to see here.
An almost guaranteed SNAFU will come from the heavy fines levied on people who don't buy into a health care plan. Unless of course you can't pay for it. I'm not sure how that'll work, but I can see some abusing this and others taking advantage of it. If I agree to work for a business under the table and tax free, he doesn't have to pay my health care and since I can't afford a plan, i should get it free right? Or, what about people just on the buffer? Where 200+ is just too much? This could also begin to break down promotions and salary augmentations, if the math works out. If paying employee 1 level A is cheaper then paying plan B for NHS, or the reverse, then there becomes little reason to promote.
While I always had the argument that the federal government shouldn't interfere in abortion, I think they made the wrong move in this. If we say that we swear equality among all people, regardless of A, B, C and D, then pregnant whores who want a good scraping shouldn't be excluded. We have now agreed that all people deserve health care, except that we now have exceptions. This is more then a little wrong to me.
Further, we have seen several school districts closing in the last month. Stay tuned for me as we begin to spend billions of tax dollars keeping the dead alive, or as the conspiracy nuts say, keeping them dead. Wether you euthanize the old or morphine the cancerous, you're looking at millions and millions in taxation - that's ultimately removing necessary money from other services. Some towns in Colorado have already abandoned public works, streets lights and dear god yes, police stations. Once the private backers of health institutes pull out and leave the NHS on the hands of the tax payers, we'll start to see lots of cracks in the system.
Big question is, what do we do with the disabled war vets? What about the homeless? What about the unemployed? Will doctors begin to move to private practices to the ultra wealthy to better retain their standard of living.
I give it ten years. Tops.
QUOTE (Spoiler @ Mar 21 2010, 11:10 PM)
1st step to socialism.
Is public transportation.