Instead of an honest discussion about the cost and funding for people who don't have access, today we are into what's in it for me. What's in it for everybody is relegated to a side issue on the safety net for people who fall out of employer provided insurance.

In a good world, people could have honestly discussed how much we can pay for the benefit of those who are not being properly served, and how much of that we are willing to pass off onto our grandchildren.