2500 pages, lots of moving parts: 1. People must buy insurance or pay a tax. Partly because they get free treatment at any emergency room courtesy of COBRA of 1996. 2. Insurance must be provided with guaranteed issue and community pricing. 3. Because doing #2 will make all policies more expensive, you need to make people who don't buy insurance get it. This is the mandate. The theory is that these are younger, more healthy people and will not add much to costs. 4. You appoint a 15 member panel to reduce costs. They are not reviewed and can do anything. 5. You give the Secretary of HUD the ability to make up rules that have the effect of legislation. This is how you got mandatory contraception and abortion in catholic health policies. 6. You add over 20 different taxes, including taxes on investment income and home sales. Some of the taxes apply to wealthy people only, others to those who do not buy a policy. It is both a tax and a penalty-- the only one of its kind so far, & it is dangerously close to a Bill of Attainder.
Basically it does what GOP keeps saying it wants...getting people to have skin in the game. If you can afford insurance and chose not to have it you pay a small penalty. This puts healthy people in the pool so that it's not only the sick who sign up. If you can't afford it, there are programs to help. As for people getting freebies at our expense? That's already happening.
The GOP is going to present their plan and vote on it July 11th. It would mean tax credits for health care and people can buy insurance anywhere in the country. Hopefully it will include TORT reform. This is only part of the plan.