Pollack on passing health care reform, cont'd

Pollack follows up his open letter to congressional Democrats with this post:

If the House and Senate bills are abandoned, we may (eventually) win Medicaid expansions for people who need help, expanded tax credits for people who cannot afford coverage, and other measures to cover the uninsured. We may even see more stringent regulation of health underwriting and other toxic practices in the insurance industry.

We will not soon see serious delivery reforms or cost-control measures. Whether the issue is high-cost insurance plans, bundled payments, comparative effectiveness research, overpayments to medical device makers, drug companies, specialists, and Medicare Advantage plans, there will be very limited political will to match what is in the current bills.

We will not be able to get these things because we will fracture the political coalition required to enact these painful measures, because the operative lesson of last summer will be that death panel demagoguery trumps real policy argument, and because there are fewer policy levers and fewer political incentives to address these difficulties outside a comprehensive bill.

Last Friday, I and others pled with anxious House members to step up in passing comprehensive reform. Senators: Now I am pleading with you.

President Obama: Now is the time for you to step up, too. Some in your administration are starting to send good signals. Others remain unduly tentative. Fight for this thing as if your legacy is on the line--because it is. I believe you have about 48 hours to fix this up. [emphasis is mine]

In its entirety. Not sure I agree 100% here, but close enough. PTFB.