Quasiblog put it so well:
One of the most brazenly corrupt pieces of legislation in American history will soon be passed by a Congress so morally compromised that bribery now includes exempting themselves and favored states from their own laws, on a scale which defies belief.
Could there be a more convincing case against this mess called health care reform that congress just passed than the bribery that went into getting it through? The Senate bribees got their states exempted from provision of it as the price of a vote.
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