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Oh come on.... "How Washington is screwing up health care reform"? The 'how' isn't important, it's the 'why' that's the problem.... and the 'why' is a tiny part of a far larger problem.
"why" being that no one really cares enough and is going through motions and not willing to stop having the insurance companies slowly fellate their bank accounts cause they know, hey, what are the people gonna do? Vote for Nader? Phffffft. Besides, they've never had problems with insurance, so like whatever.
Yep Whelk, that about covers it. Two ensconced parties with no real incentive to do anything, and nothing threatening their position. Healthcare's just a symptom.