I have to realize that our OP has hit the nail on the head by calling health care a cost shifting bill. The end question is that cost sharing a good or a bad thing?
Face the facts, health care costs are a debt the American people owe the American people. Not only will not foreigners pay the costs, we also have to realize the entire squabble is about who pays? And who now benefits and who loses?
If anyone thinks that private health care companies are the hero's here, please have your head examined because your brain is defective. But cheer up, a defective brain is unable to think rationally which explains much about the opposition to a public option.
At the end of the day, after the various cost shifting, what system will reduce the overall heath care costs? To assume that best system is the public option comes at a caveat, unless the saving of a public option cannot be shared with costs savings from providers of the failed private health care, all apples to apples comparisons fail.
As it is, our existing and failing employer based system rests on large employers while small business gets a free ride. And now that large employers like GM go belly up over health care costs, it just tells us that the employer based system is failing. Some thing that has been apparent for 20 years or better now.
And as we moan and groan about the trillion a public option will cost, we ignore the fact of the many trillions big business now pays. And if costs that can be more fairly cost shifted in other possible plans, its almost a no brainer that overall costs will reduce.