As of tomorrow, a few more HRC provisions kick in – including the requirement that 80 percent of insurance premiums be spent on health care.  This will lead to two alternatives – lower premiums, or stimulative insurance spending on actual health care.  How effective it will be I can’t say as I know nothing about the enforcement mechanism, and I’m sure that Republicans are going to try to starve it for funds.  But insurance companies which dedicate more than 20 percent to dividends, salaries, and overhead will be in violation of law.

Given that the recession and bailout money have brought insurance companies record profits over the past couple of years, there should be plenty of money to invest in medical infrastructure, that that could mean significant hiring.

Also kicking in are the 50 percent pharmaceutical discounts for seniors caught in the infamous “donut hole” and that will sbe quite visible and very much felt by those on fixed incomes. Some senior advocacy group is already airing radio ads, and a number of people have been stretching out what they have to make it to Jan. 1 when unfortunately most pharmacies will be closed.  But Monday isn’t too far away.

It’s not single payer, but it’s not a kick in the pants either.