Slogging Towards 2013

One of Josh Marshall's readers notes that many parts of the health care bill, should it pass, won't be implemented until after 2012. Josh worries:

[F]ew of the structural changes go into effect before the 2012 election. Bans on denial of coverage for pre-existing conditions, dropping people as soon as they get sick ("recision") will go into effect earlier, basically new regs cracking down insurance companies' behavior. And those should be popular for a lot of people. But the stuff that really tackles cost and other aspects of availability won't go into effect during this presidential term. That's problematic politically for the Democrats. And I think it also raises the real prospect that the insurance companies will start pulling various pricing shenanigans in advance of 2013, hoping they can create the political climate for repeal before those parts of the legislation come into effect.