Summary: Today we have a glance at the debate about one of the most important domestic public policy debates of our time, repeated in every generation since 1945, that illuminates the moral and intellectual nature of America at this point in time. The photo below captures it perfectly, the aggressive ignorance resulting from generations of skillful propaganda on a weak people. Renewal is an inherent capacity of individuals and societies; we desperately need it (more on how to do this in another post). This is the second of two posts today.
“Of course we want to have universal health care! We aren’t barbarians!”
— attributed to Margaret Thatcher, said in 1993 at Washington, DC (hat tip to Delong)
This is America today
I am applying for health insurance as a self-employed consultant, a painful experience which reminds me of three important facts about America today. Facts which reveal the basic outlines of our situation.
First, our health care system is a disgrace, a failure to adequately handle a public policy issue solved years (or generations) ago by other developed nations. It’s massive cost and low effectiveness (leaving so many poorly covered, or uncovered) reveals the degeneracy of our ethics and folly of our governance. Decent medical insurance (with caps that don’t cause bankruptcy) can easily cost 1/4 to 1/3 of a blue collar family’s after tax income (without Obamacare’s tax credits).
Also, it shows how large vital sectors (finance, defense, health care) have become parasites, consuming resources disproportionate to their role and size. It’s the grifter economy, however well-intentioned the people involved (i.e., in health care and military).
Second, Republicans are the political group most responsible for this, since 1945 having fiercely fought every step to provide health care to America’s poor and working poor from Medicare and Medicaid (1965) to Obamacare. Even today they fight to deprive Americans of affordable health care, with a policy of Repeal and Promise to do something someday. Rand Paul’s budget proposals call for a slow strangulation of Medicare, while today some GOP governors reject expansion of Medicaid even at no cost to their State (as of September, only 27 States have expanded coverage) — and some fight even the basic terms (e.g., Kansas). It’s difficult to imagine such callousness, especially as their arguments are largely bogus.
Third, it shows our weakness as citizens that alone among the developed nations Americans have not exerted ourselves to provide adequate health care to all — despite the obvious self-interest in doing so — or run this sector in a rational manner.
Here are links to the latest rounds in the “debate”. Like most public policy debates in America, they’re polarized between facts and delusions. With each groups taking different sides in different debates; sometimes we have bipartisan delusions (e.g, the WOT).
(a) “The Anti-Obamacare FAQ“, Reihan Salam, Slate, 14 November 2014 — A fact-free “Everything you need to know about why conservatives want to repeal the president’s health care law.”
(b) A gentle but thorough rebuttal: “Here’s Why Conservatives Will Never Give Up Their War on Obamacare“, Brian Beutler, The new Republic, 18 November 2014 — Excerpt:
But in any case, none of these basic differences between liberals and conservatives explain, as Salam puts it, why conservatives are “so pissed off about Obamacare.” He attributes their indignation to the belief “that Obamacare only became the law of the land because President Obama misled the public,” then goes on to explain that conservatives aren’t hypocrites for wanting to turn Medicare into an Obamacare-like program for seniors, or for having once supported the individual mandate; then acknowledges that conservatives are miles from consensus on how best to replace Obamacare; and finally concludes that the law should be repealed anyhow.
None of this makes the Obamacare opposition seem even a tiny bit reasonable, but it does present a few good opportunities to explain why liberals think most of this is all window-dressing for a simpler explanation: Conservatives don’t just oppose distributive programs that help the poor and working class — these programs drive them batty in and of themselves. That Obamacare patched up the single biggest hole in the federal safety net, and in so doing extended government-sponsored health benefits to people through every stage of life, intensifies this reaction.
(c) A detailed and typically brilliant rebuttal by Brad DeLong (Prof Economics, Berkeley): “Continuing on the ‘What Are Conservative Policy Ideas for Replacing ObamaCare?’ Beat”, Washington Center for Equitable Growth, 18 November 2014 — Excerpt: