One of the most insane expectations to come out of Barack Obama's campaign for Barack Obama's presidency was the misguided notion that the President was going to act as Senator, Congressman, Attorney General and Supreme Court Justice. As Kriss (aka @insanityreport) reminded people this morning, POTUS doesn't write legislation: The President's staff can suggest, poke and prod...but at the end of the day its the 100 member senate & 433 member House that write bills.

Ezra Klein bipartisanship is unlikely to take root at Thursday's summit and Nate Silver seems to agree when he tweets "my gut instinct is more pessimistic than the consensus". Taking a quick look at the summary [PDF DOWNLOAD], am of two minds.

It's not a new "third way out" but a reconciliation bill. It goes after the Ben Nelson bribery FMAP provision by eliminating it and expanding Medicare coverage to all states --trying to make up for one of the biggest mistakes during the Health Care Reform negotiations. Yet, by making no mention of the anti-abortion provision or the public option, it leaves the first one intact and the second one out of this bill.

The only interesting addition is the hot-button government oversight and regulation proposal for a Health Insurance Rate Authority. By calling upon the need for more transparency and fiscal responsibility, it kind of smacks every obstructionist that has invoked those two arguments in their efforts to stop health care reform.

Yet am with Ezra and Nathan : Will this bill really make a difference? My gut instinct hasn't been screaming no since last night. It's been completely revolted since the day universal health care & insurance was not declared as a mission and a right during these negotiations. And as Stupak is still in, immigrants are still discriminated from coverage and the public option is out, there's still no reason to cheer.

Links to Key Provisions in the President’s Proposal:

The President’s Proposal builds off of the legislation that passed the Senate and improves on it by bridging key differences between the House and the Senate as well as by incorporating Republican provisions that strengthen the proposal.

One key improvement, for example, is eliminating the Nebraska FMAP provision and providing significant additional Federal financing to all States for the expansion of Medicaid. For America’s seniors, the proposal completely closes the Medicare prescription drug “donut hole” coverage gap. It strengthens the Senate bill’s provisions that make insurance affordable for individuals and families, while also strengthening the provisions to fight fraud, waste, and abuse in Medicare and Medicaid to save taxpayer dollars. The threshold for the excise tax on the most expensive health plans will be raised from $23,000 for a family plan to $27,500 and will start in 2018 for all such plans. And another important idea included is improving insurance protections for consumers and creating a new Health Insurance Rate Authority to review and rein in unreasonable rate increases and other unfair practices of insurance plans.

• Download the full PDF of the President's key improvements.
• Read the Overview.
• Read the President’s Proposed Policies to Improve Affordability and Accountability.
• Read the President’s Policies to Crack Down on Waste, Fraud and Abuse.
• Read the President’s Policies to Contain Cost and Ensure Fiscal Sustainability.
• Read the President’s Other Proposed Policy Improvements.

Summaries of Key Elements of the President’s Proposal:

• Title I: Quality, Affordable Health Care for All Americans
• Title II: The Role of Public Programs
• Title III: Improving the Quality and Efficiency of Health Care
• Title IV: Prevention of Chronic Disease and Improving Public Health
• Title V: Health Care Workforce
• Title VI: Transparency and Program Integrity
• Title VII: Improving Access to Innovative Medical Therapies
• Title VIII: Community Living Assistance Services and Supports Act (CLASS Act)
• Title IX: Revenue Provisions
• Title X: Reauthorization of the Indian Health Care Improvement Act