Making sense of healthcare reform

I was wrong. I wrote that Scott Brown's victory in the Senate election in Massachusetts meant that we needed to pursue other areas of healthcare reform while Congress was embroiled in partisan gridlock. I did not expect passage of the Patient Protection and Affordable Care Act (HR 3590) and Health Care and Education Affordability Reconciliation Act (HR 4872), but admit that their passage just before the Annual Congress of the American College of Healthcare Executives made for exciting discussions. Participants felt like we were part of the present.

Hence I "volunteered" to speak about the implications of healthcare reform in the chapel of a nearby church. I first disclosed that I had not yet read over 2,300 pages of the legislation and relayed that even though much is to be revealed as the Department of Health and Human Services drafts regulations, several provisions will take place in 2010...