This is a detailed proposal for a workable, universal plan being backed by the AFL-CIO, and sponsored by the Economic Policy Institute.

Health care for AmericaA proposal for guaranteed, affordable health care for all Americans building on Medicare and employment-based insurance    by Jacob S. Hacker

The latest AFL-CIO newsletter is pushing this agenda in the health care forum. It's actually very similar in concept to Romney's plan, which was implemented in Massachusetts a few years back with the blessings of Ted Kennedy. Under Romney's plan, people are required to produce 'proof of insurance' within a mandated time frame, or be subject to increasing tax penalties. The Mass. plan is capped at $200/ per month for individual coverage.

It's also very similar to Hillary's health care plan, which includes mandated coverage as well. Obama's plan follows the same line, but without forcing anyone to purchase the coverage.

Basically, the idea is to keep status quo for people who have good coverage, and to keep the Insurance Lobby happy and unopposed, while bringing in a lower-cost option for the currently uninsured. It hits everyone a little bit. Small businesses, who may not offer any coverage at all, will be forced to contribute about 6% payroll tax to the'America' plan. Large  businesses, who currently get away without contributing anything as long as they classify an employee as 'part time', will also have to contribute based on a percentage of those employees' earnings. To my mind, that's a good move. The main reason people are now working two and three jobs is because of large corporate employers who decided that 2 people working 20 hours a week is much cheaper than one person working 40. A plan like this would 'disincentivize' that little ploy.

While it seems a good compromise in a lot of respects, I also find it a little scary, especially the 'mandated coverage' aspect and its enforcement proposals. Those in favor of a mandate say that we can't get the best rates without everyone doing their bit, and those against make the excellent point that the private premium would put such a plan out of reach for the very people it's designed to help.

To my mind, it's all part and parcel of the 'service economy'. The person (like a doctor, a nurse, or a chemist) who has actual knowledge, and a marketable skill, gets eaten alive by the eight middlemen who are basically making a living by marketing his skill, and adding on a profit for themselves. He slips lower and lower down the food chain, as the money boys reduce him to utter dependence on their 'system', which system the Federal Government is bravely tring to 'buck' by forcing the entire population  to pay them ransom for health care...sigh..

It's like letting the pilot fish to steer the shark.

Still, it's a start.