One thing that puzzles me about supporters of health care reform is how optimistic they are about the federal government's ability to positively change the health insurance market.
Many of them just spent eight years denouncing the incompetency of the federal government from Guantanamo Bay, to the non-existent WMD's, to the failed response to Katrina. Do these people actually believe that just because the White House changed occupants the effectiveness of federal government interventions will dramatically increase? And our response to an era when the federal government has shown just how poorly it can do when given the chance, is to grant it the biggest expansion of power in fifty years? It just doesn't make any sense to me.
While there certainly are appropriate functions of the federal government, I'm skeptical that managing the ins and outs of the health insurance market is one of them.
More broadly, given the federal government's track record on a whole range of issues, the proposition that we ought to expand its influence is, at best, dubious, and at worst, foolhardy.