I have to say it because the Senate health care bill is terribly flawed and very far from what so many of us were hoping for. However, we must face the hard reality in light of the election results in Massachusetts. There is simply no way anybody is going to get the Senate to pass any variation on it once Scott Brown is seated, unless they can actually change the rules to do reconciliation with 50 votes without mucking about at it for too long. The only possible bill likely to be actually signed into law at this point is the one passed with such enormous effort by the Senate in December. If the House refuses we will not see another serious effort for many years. The bill does little, but it is better than nothing, increasing coverage to two thirds of the uninsured and forbidding insurance companies from refusing people over preexisting conditions or arbitrarily dumping them.
Basically there are six systems of health care out there: 1) more or less pure laissez faire, formerly seen in the US but now no high income countries, although some very poor countries; 2) the US system of mixed public private with for-profit health insurance companies and no universal coverage; 3) universal coverage through private but non-profit insurance companies, seen in Switzerland and the Netherlands; 4) mixed private public system with universal coverage, non-profit private insurance companies, and a public option, see Germany and top-rated on health-care-by-the-WHO France; 5) a single payer system by government with universal coverage, with health care workers still privately (mostly self) employed, with Canada the leading example, and 6) full socialized medicine with health care workers employees of the state, see the UK and the former Soviet Union. There has been talk in the US of single payer, and many in Congress wanted a public option (although nobody was willing to push to change our badly behaved for-profit health insurers to non-profit), but in the end the Senate bill does not move us off System 2, merely extends and improves it some. Still, it is better than nothing, and killing it with no alternative will not help Dems politically this fall in the elections.