From the transcript of Charlie Rose interviewing Washington Post health care wonk blogger Ezra Klein on December 15:
EK: This bill is both quite an achievement, but a recognition of ourWith the change in the numbers in the Senate, the reform train slows down a little. But only a little -- Democrats will continue to push for health care reform and I expect a bill to pass by the end of the month. They'll be back for more.
limits. And at some point we are not going to be able to content ourselves
with having picked the low-hanging fruit. We are going to have to sit down
and make hard decisions and hard choices on cost, and there won’t be the
spur and the shining goal of covering the uninsured. There will be a lot
less. And we’re still going to have to do it.
So this bill, it’s a good first step, it will make the next one
easier. But the next one is going to be the harder one and I don’t think
anybody looking at this process should be very confident that we will be
able to take it.
CHARLIE ROSE: What’s the next one?
EZRA KLEIN: In a very hard way, cost control. Not just starting the
procedures and the pilot programs, but telling doctors and hospitals and
device manufacturers and Pharma "You are going to make less money next year
than you made this year," or "You are going to make a lot less money in ten
years than you expect to be making now." That’s going to be very hard.
Just remember that their long-term plan is "You are going to make a lot less money in ten years than you expect to be making now."