You can't just breach the constitution and say "moving on..." it does not work like that.
We can argue constitutional law, but most likely the decisions for the basis for an individual mandate will fall back to the Commerce Clause and it's associated precedents regulating interstate commerce that constitutes a "substantial effect." (Gonzales v Raich, U v. Lopez, et. al.)
It's called the "Medicare Advisory Panel" [hhs.gov] And it's in the Senate bill [cbsnews.com]
From your link: "The committee will review and evaluate medical literature, analyze technology assessments, and examine data and information on the effectiveness and appropriateness of medical devices and procedures. Based on the medical evidence reviewed, the committee will advise and make recommendations on Medicare decisions, but HCFA makes final Medicare coverage decisions.
Each of the six advisory panels is organized to roughly parallel Medicare benefit categories, enabling HCFA to obtain the most pertinent technical advice. The panels will be asked to evaluate scientific evidence to assist HCFA in making coverage decisions."
Nothing here to suggest that a US Government panel will be making individual case decisions. They are set up to review policy and provide technical advice regarding medical benefits under Medicare, not organ donor decisions. Your example, at the very least, is exaggerated. I posit this to you: Is it really worse that a government panel make these types of decisions (with congressional oversight, mind you) than some profit-hungry CEO in a board room!?
Profits should not dictate health care.
Your trust that the government will manage this system effectively are not only unsupported by evidence, but is actually contradicted by hundreds of years of the government being totally infective in doing just about anything...
I refer you to this post. It's a bit snide, but I think it points out some of the flaws in your argument: http://ask.slashdot.org/comments.pl?sid=1588498&cid=31536338
Isn't the definition of stupid doing the same thing over and over again and expecting a different result?
By your own argument, wouldn't the status quo be even more ill advised? It's not about trust, it's about action. Dems and Repubs alike have maligned social security and medicare over the decades into the monster it is today. It requires direct intervention. But this bill is about providing Health Care to Americans, not revamping either of those social systems. It addresses specific concerns within Medicare as it applies to certain benefits (i.e. the Donut Hole, Medicare commissions, etc.) It also mandates that steps be taken to reduce costs in Medicare, and provides the means to do so if the provisions do not work out as planned. If, as you say, the estimates are not correct, the legislation provides for a committee whose sole responsibility is to enforce and enact cost saving measures to meet it's goals of spending reduction. If Medicare spending is what is out of control, then why is this such a bad idea? (Read some of their immediate proposals yourself: http://www.medpac.gov/documents/Hackbarth%20Statement%20SFC%20Roundtable%204%2021%20FINAL%20with%20header%20and%20footer.pdf. Not nearly as insidious as you suggest.)
Your trust in the government scares the crap out of me. Maybe it should scare you a little too.
You're missing my point. What is needed is reform. While the proposed bill don't go as far as I would like, it provides for much needed change to the health insurance industry and an opportunity for individuals in dire need of health care. I trust private industry as much to "do the right thing" as I do our own government. In the end, they are both run by bureaucrats with their own self-interests that come into play. We're only human, after all. If placing one's trust wholeheartedly in governmental legislation is a naïve concept, then the same is true for placing that same trust in private sector. Each serves it purpose.
Change is needed. The private sector is not willing to change. That's the bottom line for me.
I am curious, is there anything in the bill you do like?