Health-care reform passed last spring, and the spotlight quickly moved onto other topics.
But change is happening, and much of it is not good.
Two stories this week show how reform is undermining quality care. First, McDonalds threatened to pull the plug on a mini-med plan it offers 30,000 hourly workers.
The company said it couldn't afford the government's required 85% of revenue from premiums go to health-care coverage.
In other words, the very folks health-care reform was supposed to help -- low wage earning people -- were about to lose benefits because of health care reform.
Granted, the McDonalds plan provides limited coverage but it does so at no cost to the taxpayer.
Yesterday, the Principal Financial Group says it will stop selling health insurance altogether. The Iowa company provides coverage to 840,000 people who receive their insurance through an employer. No official word on why principal was backing out, but you can guess.
The new rules are considered burdensome by many of these companies.
Friday, the Association of American Medical Colleges said health-care reform will make the doctor shortage even worse because it will add 36 million more Americans to Medicare rolls.
While the association originally forecast a shortage of under 40,000 doctors by 2015--they now forecast a shortage of 63,000.
Obamacare calls for every state to set up health-care exchanges, marketplaces where insurance is sold.
In theory, the best plans will get the most consumers to apply. Some 24 million Americans will get coverage in this way--that's the plan, but in reality it may limit competition.
That's because state insurance regulators are already advocating banning insurance companies from outside the exchanges - meaning the exchanges will be the only place to go to buy individual health insurance policies.
Remember when the president said his guiding principle in designing health care was that "consumers do better when there is choice and competition?"
Well, already, we're seeing less of that - and the whole program isn't even in place yet.
Fewer insurers, fewer doctors, and maybe fewer ways to buy coverage.
This isn't the package we were presented.
Not by a long shot.
Health care needs reforming. Just not this reform.