Health Care Reform as Investment/Stimulus: Health care reform seems to me like it ought to be a major priority in an economic downturn, since it's one of the major inefficiencies sapping the economy of vigor. Not doing so is an example of "eating your seed corn," in that because you feel like you can't afford to invest in something important, you end up prolonging really bad policies that eat up funds that always seem to add up to the same amount you lacked to finance the reform. The federal government is not like me -- when I'm poor I can't afford the economy size because I have no mechanisms for borrowing money. But the US government can always afford it, and should never avoid a good long-term economic investment on the grounds that it will cost to much in the short run.
And maybe health-care reform will pay off sooner than we think.
Just imagine where we'd be as a competitive world economy if Hillary Clinton's health-care plan (or something like it) had passed 17 years ago.
Depressing.