On of the problems with the Healthcare reform bill is that it is 1000 pages of incomprehensible prose, as discussed here. I think there is method to the Democrat's madness. They intend for the actual specifics to be worked out later by unelected bureaucrats. This is the pattern for the Obama Administration. Obama's executive pay czar said that it doesn't matter what the law says, he will decide how much money executives make, and there is no appeal. This idea of passing vague law with specifics worked out later was a technique used by Germany's Third Reich under Hitler.