Frankly, when you're talking about health care for about 310,000,000 people (probably more) I'd say 2,700 pages is on the light side of things.... It's all about how its organized.
This is something that needs a dedicated person whose full time job and profession it is to is handle this. Maybe it's an accountant, or a lawyer, or who knows, but someone.... We have people responsible for nuclear reactors, this can't be beyond the scope of human comprehension. You can delegate and subdivide duties all you want, but at some point, somebody has to be there running the show or else you've got a headless monster who rather than actively wrecking things, is just sitting around being ineffective.
The parts of a car are immensely complex (don't think so? Try to design your own transmission from scratch starting with nothing), but we have lead engineers responsible for the whole car who delegated out those tasks. We also have mechanics who have a working knowledge of the system. This isn't impossible, it just takes a lot of work (and yes that costs and should cost money).
That said, nobody is really understanding what they're doing, and that's the problem, or worse yet, they do understand what they're doing:
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http://news.yahoo.com/blogs/ticket/obama-goads-congress-end-subsidies-large-oil-companies-153416100.htmlWhy the heck are my tax dollars paying for oil companies? Even a part of the oil companies? These damn companies are enormous and generating record, obscene profits. Why the heck are we subsizing them at all. We're going to cut vital social programs, but clearly we need to prop up the oil companies...?
And you know why these tax subsidies aren't being repealed? Because the oil companies are lining the pockets of congress.... So they "donate" campaign funds which quite frankly are bribes, but Scalia thinks they're "free speech." Then they get way more in tax cuts than they ever spent on buying politicians. What a business model....