By Barb Shelly, Kansas City Star editorial page columnist

A fair amount of attention is being paid to an oped piece by Jeffrey S. Flier, dean of Harvard Medical School. He gives the health care reform efforts in Congress a failing grade and says,

Speeches and news reports can lead you to believe that proposed congressional legislation would tackle the problems of cost, access and quality. But that's not true.

But one dean does not a consensus make. In this piece for the National Journal, journalist Ronald Brownstein quotes some economists and experts who think the bill just passed by the Senate contains provisions that will make a substantial difference in reducing overall costs of health care while also improving access and quality.

Economists like the provision in the Senate bill that taxes high-end insurance policies, both to raise money to pay for health care reform and to discourage excess spending. The Congressional Budget Office concludes that the bill would cut the federal deficit. If creates an independent commission with the authority to impose savings on Medicare if spending grows too fast. And it contains a number of incentives that would pay doctors and hospitals for results, not procedures.

"I can't think of anything I'd do that they are not doing in the bill," MIT health economist Jonathan Gruber told Brownstein.

There'll be a big fight over a public option and paying for abortions. But a lot of health policy experts think Harry Reid has put forth the makings of a substantial reform measure.

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