We need to analyze this issue from a couple of different perspectives.  The first is this trillion per decade cost. Is this truly a cost to the American economy? We think not, since this money will simply flow back into the economy, back into the hands of health care providers, insurance companies, etc. – back into the hands of taxpayers. So in this sense it is very much affordable.  But is this a productive enterprise? For the millions of people that at this very moment have absolutely no insurance and therefore very limited access to health care, the answer is very clear.  In addition, the reform will more or less pay for itself, not in a year, not even a decade – but as it stands now, it’s been designed to have a net worth of zero. [1]  Lastly, just because we live in a bad economic climate doesn’t mean we can simply abandon all sense of moral obligation. There are people suffering because of the current situation. No cost can offset that.  [1] Johnson, S., Kwak, J., Can We Afford Health Care Reform? We Can't Afford Not to Do It., published 9/1/2009,  , accessed 9/18/2011