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There’s a big debate going on in the seat of government about health insurance – or “health care” as it is always called.  However, the two are very different.  Health care is what doctors and nurses and pharmicists and other medical professionals do.  Health insurance is how we pay for it.  But health insurance reform doesn’t sound quite the same as health care reform does it?

Is the Senate bill a good replacement for what our current system?  Is it worse?  Depends on who you talk with.

It leaves me with a few observations though.  These are things that I think we haven’t answered as a nation.  And because we haven’t answered them, any change we make to health insurance is not going to go over very well – no matter how it’s sold to us.  But keeping what we have currently isn’t a good option either, long term.  But we have to start somewhere right?

At any rate, here’s a few thoughts.

What is the role of government in our nation?  This has been an ongoing debate since the beginning – one that we haven’t answer yet.  You’d think we’d have an answer after 240 years right?

What is our vision for the nation?  Where do we want our nation to go as we move forward in history?

What is the relationship between the government and the people?  If government is the one responsible for providing health insurance, does it bother anyone else that we have distrusting relationship between people and government?

Why in the world is health insurance still attached to employment?  How does this even makes sense anymore?

I wonder what a reformed health insurance would look like if the extreme ends of the political spectrum were left out of the discussion and the folks in the middle made changes.  Would it be better?

How much do we really spend on paying for health care?  Is there a better way to do it?

Why do we in the US focus all of our attention on sick care as opposed to more focus on prevention?  Prevention ends up costing a whole lot less, and it means that people are healthier.

What does our American culture and mindset force us into concerning health care and health insurance?  In other words, what are the things that are unnamed and hidden from view that drive the direction of health policy – good and bad?  Are these things that can be changed?  Or are we stuck?