Some House members grumbled about having to vote on the 350-page plan, a compromise between previously passed House and Senate bills, less than 24 hours after it was filed, giving them little time to review it. “I can’t get through a book I like in 24 hours,’’ Representative Daniel Winslow, a ­Republican from Norfolk, said in an interview.   

RelatedThe Perils of One-Party Politics: Massachusetts' Democracy 

$ee why it is $uch a great bill?

Representative Steven Walsh, a Democrat who led the House effort on cost control, responded, “For two years, we’ve accepted criticism for not moving fast enough.” 

So shoving it down our throats when no one can read it is okay? Talk about EXTREMISM!!

Representative Ronald Mariano, a Quincy Democrat who helped negotiate the final legislation, said that as the state is held to spending targets, “you are going to see people making smarter decisions on buying insurance products; you’re going to see doctors making different decisions on how they treat people.”

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In his remarks yesterday, Patrick said he does not believe the legislation will lead to layoffs and hospital closings. “There are going to be changes,” he said. “But if those changes mean we get lower-cost and higher-quality care because care is being delivered in different settings — in homes, for example, in neighborhoods, in communities, rather than in hospitals — then I think that’s something we all ought to strive for and will strive for.”

It looks to me like you BETTER NOT GET SICK in Massachusetts!

The legislation requires the state Medicaid and state ­employee health care programs to move to new payment systems, such as so-called global payments, which give providers a budget to care for groups of patients. This system would replace paying a fee for every visit, test, and procedure, which is blamed for driving up spending because it has few limits on the number of services.

Yeah, everyone knows there are NEVER EMERGENCIES or UNFORESEEN MEDICAL PROBLEMS! 

Maybe we could HOLD BACK some of the WAR or WALL STREET MONEY, 'eh?

The bill encourages but does not require private insurers to do the same....

Because then they will just dump 'em, folks.

In many ways, the model outlined by the bill mimics health maintenance organizations that gained popularity in the 1980s and 1990s and lost favor as patients and doctors decided they were too restrictive.  

Because they DID NOT LIKE RATIONING!!

The difference is....

NOT MUCH! It's asking a dumbed-down, drug-addled public to participate.

find a good, less-expensive doctor.  

What?

Unlikely, said Dr. Ashish Jha, associate professor of health policy at the Harvard School of Public Health. The kitchen-sink approach to slowing health costs is a good one, Jha said. But he is skeptical about whether people will change their behavior as a ­result of having more information available.  

Me, too, because the AmeriKan public has an amazing capacity to hear or see the truth and then go right back to believing lies. I see it all around me every day.

“It’s not because there’s no evidence that they do,” Jha said. “It’s because there’s very good data that they don’t.”

That is because Americans don't want to be bothered with all that shit!! They want a GOOD, DECENT, CARING SINGLE-PAYER SYSTEM like those in other countries!  

It's like the bank$. WHY DO YOU NEED to READ FINE PRINT and all that other baloney? Are we NOT ALL IN THIS TOGETHER? Isn't the PRIMARY CONCERN of the altruistic insurance companies the PATIENT'S HEALTH, or am I wrong there?

Joshua Archambault, director of health care policy at the Boston-based Pioneer Institute, said the law falls short ­because it does not require ­patients to foot more of the bill 

Please deposit that into corporate profits.

“Until you fully engage the consumers and they feel like they’re spending their own health care dollar, you won’t be able to save money,’’ he said.

That's why I avoid care.

Archambault also pointed out that in Medicare experiments with accountable care organizations — large provider groups that coordinate all of a patient’s care — some saved money, but many did not. They are a key component of the Massachusetts plan.  

But it's a GREAT BILL!

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