This is not what my patients had in mind

This is not what my patients had in mind

The Obama administration’s decision this week to delay implementation of the health insurance mandate for businesses with 50 or more employees is no small matter. In fact, removing the mandate could lead to the unraveling of the entire law — if not in actual public policy terms, at least in public opinion.

I have a confession to make. Four years ago, when I was making my first arguments against the looming threat of the new administration’s health care reform plans, several of my blue-collar-worker patients with poor or no health insurance told me they were happy about the potential law because they thought it meant they would be covered and would be able to see a physician free of worry.

Four years later, these same patients are not happy. They are not bragging about the new law. They are not saying, “I told you so.”

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