In the end, some of this debate might come down to a perennial tension in American politics: whether to trust the people or the technocrats. Those who trust the technocrats more, like Davidson, want us to tinker with incentives on the provider side, helping doctors provide more care more efficiently. For them, the ACA represents a good attempt to reform insurer and provider incentives. The populists trust the people to exert consumer pressure on providers, if only the system allowed them to. Since the ACA further entrenches the existing insurance regime, they oppose it.
Throughout the review Blair teases out some weaknesses in an exclusively technocratic approach, and offers some ways in which consumers might contribute to lowering costs and improving quality. Read the whole thing to get a sense of how the day-to-day debates over Obamacare trace to bigger picture questions confronting health care reform.