My concern in the end is a simple one. The government has proven to be less-than-efficient in managing Medicare. The fraud rate alone is abyssmal. Provders complain about the paperwork, payment limits and payment delays. No plan so far really defines the efforts to make the administration of it work. And nothing indicates any plan has been thought out to what will make it work.

If the national consensus is indeed to have a national health care system - which has to operate in all states down to the village level - then have the sense to follow the model done up North with a much smaller population and fewer governmental levels. That model says: start small; make that work; go to another level and make that one work; make sure the systems can intercommunicate and interoperate effectively at level; continue adding more levels until the entire network works smoothly.

The principles of system management apply when going from zero to 100 with something new and/or unique. They are tried and true from everything to include developing and fielding an interstate highway network to creating a worldwide package delivery system (FedEx, UPS, DHL, etc.). Yet, nothing in any of the bills do anything except say "the Secretary will promulgate regulations" and similar legislative boilerplate.

Sorry, but if I'm to trust a new health system with my life and my family's lives, I'd like it developed and fielded correctly, and not thrown together as a political stewpot. And I don't trust that it will "just happen" because Congress voted for vague language. This is too important to do half-@$$*&.