Nothing about this proposed legislation or the ACA does much of anything to attack the high costs of healthcare or uses the existing resources more wisely.  It's like shuffling the economic deck chairs on the Titanic......meeting campaign promises without any significant improvement to efficient access to services.   At the end of the day, those without some insurance, Medicaid, etc. will once again clog emergency departments across the country to get their healthcare.   Without total, mandatory participation by all, the average American worker will still be paying the bill for those who can't or don't pay.......and paying the bill for the reduced taxes on the wealthy.