Oh, oh—the equity issue again. Darling’s letter signalls what we can expect once the lobbying gets hot and heavy. If employers are objecting to COBRA extensions for the unemployed because they might cost too much, what will happen when there are proposals on the table to make all large employers like NBGH members pay for coverage for their workers? There are lots of threads to tie up here. It’s best not to let them dangle too long.

Trudy Lieberman is a fellow at the Center for Advancing Health and a longtime contributing editor to the Columbia Journalism Review. She is the lead writer for The Second Opinion, CJR’s healthcare desk, which is part of our United States Project on the coverage of politics and policy. Follow her on Twitter @Trudy_Lieberman.