Medicare at 50 Act reintroduced

[Acer]

Clearly, any legislation has to ask this question: What's the worst possible way we can imagine private insurance companies--and the big vertical health care providers (the ones that have bought practices, labs, outpatient clinics and entire hospitals)--can manipulate what we propose? Not only prepare for that scenario, but remain flexible to respond to new, innovative ways to screw us they they find. A big problem with ACA and even with Medicare is that the Republicans may have failed to kill it, but they have been very effective in preventing efforts to fix issues that have become evident.