Summary: Today guest author Bernard Finel discusses one of the major themes of the FM website: our broken thinking (aka dysfunctional observation-orientation-decision-action loop). This was originally posted at his website on 17 January 2012.
“American Delusions” by Bernard Finel
One of the biggest problems with our domestic political discourse is that much of the American body politic is operating under a set of persistent and destructive delusions.
During the health care debate, of course, one of the major points of opposition to Obama’s health care reform was the argument that the United States has the “best healthcare system in the world.” Now, yes, we have the most expensive health care system in the world. If we spent as much on health care per capita as other developed countries, we’d be spending roughly $1 trillion a year LESS. Which would be fine if we were getting $1 trillion worth of better health care, but, ya know, we aren’t. We’re either in the middle or bottom-middle of the pack in terms of health care outcomes. But even if we were near the top of the pack, we are not getting anywhere near $1 trillion worth of extra value from our system. But see, the “best healthcare system” in the world delusion blinds us to the fact that we need real and deep structural reform in the healthcare sector.
Whenever we talk about defense spending, we get a similar delusion at work. This one is the insecurity delusion, where the United States, despite spending more on defense that the rest of the world combined, is somehow perceived to be walking a razor’s edge with regard to national survival.