I think it was Dennis Miller that called it the Evil Party vs the Stupid Party.
As for the impending Health care reform. I've had no problems with my current PPO, but I've noted that MA feels that $598 per month is a fair price for me to pay regardless of how much I make for equivalent coverage to my current plan. It should also be noted that medical/dental/vision/flex with full buy ups costs me around $85 per month. (Compared to most companies in the region, I work for a moderate/small organization)
The MA "Final Solution" really isn't one once you try to use it. It's just thrown out there, and healthcare reform was proclaimed, with no real consideration for how it would all fall together, or apart. Anyone that says anything to the contrary gets the obligatory "Well we solved the healthcare issue, it's not our fault that you aren't taking advantage of it." It's really become a scapegoat for itself.
Case in point for how cumbersome the entity is. A friend of mine was told that he would have to wait 15 months to see an approved surgeon to have the tendons in this shoulder sutured back in place.
Honestly, I don't think letting the state handle anything is advisable. They can't even seem to understand the concept of sending out a an excise tax demand notice dated AFTER the date they send the actual bill. Not to mention so much of the yearly MA budget goes to paying pensions (over 60%) that they are looking at pension reform in this state now. They actually stopped to consider that letting people collect on two pensions at the same time was a bad idea for the state. Well, golly George.
Do not call up what you cannot put down.