Sunday, August 16, 2009


Healthy debate
There's a growing movement at town hall meetings and online to make sure members of Congress read the entire health care reform bill before they vote on it, and to make it available to the public at least 72 hours before a vote.

"Read the bill" is typically another way of saying "not so fast," but there's no denying the idea's appeal. Too many bills have been rushed to a vote in Congress with too little time for scrutiny.

There's just one hitch: You could read the entire health bill and still not have a very good idea of how the plan would work. Legislative language is notoriously, necessarily murky. Take the opening lines of one of the bill's most controversial sections, the one about voluntary "end of life" counseling:

"SEC. 1233. ADVANCE CARE PLANNING CONSULTATION. (a) Medicare. — (1) IN GENERAL. — Section 1861 of the Social Security Act (42 U.S.C. 1395x) is amended — (A) in subsection (s)(2) — (i) by striking 'and' at the end of subparagraph (DD); (ii) by adding 'and' at the end of subparagraph (EE); and (iii) adding at the end the following new subparagraph: '(FF) advance care planning consultation (as defined in subsection (hhh)(1) … "

Got that? Most members of Congress and most Americans could read all 1,017 pages of the House bill (to be fair, much of it isn't quite this opaque) and come away with a confused picture about what it all means....