Are you in Canada? As for the "reform" working in the short run, the subsidies will help and the pre-existing condition ban will help (on paper, but the cynic in me assumes there are loopholes).
And yes, it's a short term political win. But the bottom line for me is that I only care about political wins if they translate to policy wins. Unfortunately that hasn't happened on any major issue I can think of, and I don't see it happening any time soon.