Like it or not, President Barack Obama and House Speaker Nancy Pelosi have managed to pass a comprehensive health insurance reform bill. The big question is what happens now?

The vast majority of those in the insurance business don't like this legislation, and understandably so, since it focuses practically all of its attention on the industry, without reforming the way health care is delivered.

It also fails to offer medical malpractice relief, guaranteeing that defensive medicine will continue to be practiced, driving up costs. Meanwhile, the penalties for not buying mandated coverage are way too small to coax everyone into the system, which could create adverse selection.

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