Health Care Reform

Everyone's excited about the discussions under way about costs savings, public options, and individual mandates, etc. that are part of the health care reform debate kickstarted by President Obama over the past couple of days. I realize that some of this will have to wait until the details of a reform bill are worked out, but what I want to know is how the damn thing is going to be administered and forced. No matter what the result is, I see no way that a significant federal effort isn't going to be required, either to administer a public option, to enforce an individual mandate, or to set treatment standards. And getting the management of that effort right is going to be a major effort.