The current health-care reform proposals being crafted in Washington have the potential to reshape the U.S. health-care delivery system by expanding the scope of coverage and the ways the government pays for health care.

But even if reform is enacted this year, that will only be the beginning. An extraordinary number of actions will have to be taken by various regulatory bodies to interpret and implement the new law. Unfortunately, experience with how the existing regulatory scheme has been implemented raises concerns that the new law’s purposes could easily be undermined.

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