Showing posts with label health care. Show all posts
Showing posts with label health care. Show all posts
Monday, March 22, 2010
America Continues to Fracture
If you scroll forward to 6:40 above, you will hear Obama saying "It's time to bring this [health care] debate to a close." That is, we are to stop criticizing his massive new entitlement program and get busy making it work. This is one of those times when his grasp of free speech seems, for a constitutional lawyer, surprisingly shaky. People who have fundamental objections to the plan have a right to say why, and they will continue to do so.
It seems to me that this legislation is divisive in a new and potentially dangerous way. Some folks have pointed out that the Democrats have in the past enacted huge new welfare state entitlements over Republican opposition, and yet the nation was not permanently fractured. The examples repeated given are Social Security (under FDR) and Medicare (under Johnson). Others have argued that those measures passed with considerable Republican support. About half the Republicans in Congress voted for Social Security. We have crunchable numbers showing that this time is different. This plan got no Republican support whatsoever.
I think I see an underlying ethical reason for this difference. Yes, the parties are more polarized than they used to be, but this is at least as much an effect as a cause.
The new plan a different sort of plan: it is openly redistributive. The earlier massive entitlements were sold to the individual voters as insurance plans provided by the government for their benefit. The money you get out of social security is even proportioned to how much you pay in, enhancing the similarity to an insurance or savings plan. We could argue about how honest/dishonest it was to package it this way, but the fact is that there was enough truth to this view of it to make it stick. This is, more or less, how the average citizen sees these plans.
The new plan cannot be packaged this way. It is plain to everyone that it is intended to provide millions upon millions with medical insurance at other people's expense. This moves the American welfare state officially into zero-sum territory. There is no way to reconcile the interests of the millions who will be provided with insurance policies with the (so far) even more millions who will be forced to pay for them.
If you add to this the "civil unrest" that is probably coming as a result of of government austerity measures (note riots in recent weeks in Greece, Portugal, and California -- California being the Greece of America), you can see we may be in for some very grim social and political conflicts in this Republic.
[For the lighter side of zero-sum politics, see this.]
Thursday, December 31, 2009
The Individual Mandate: Finally Controversial?
The one thing about the health care debate that has surprised me the most is the lack of interest in "the individual mandate," the provision that forces millions of people to buy insurance from private companies on pain of stiff penalties. Penalties will eventually rise to $750 per adult ($375 per child), maximum $2,250 per family, or 2% of family income, whichever is higher. Presumably, if you persist in refusing to pay these penalties, you go to prison.
In the last couple of weeks, there has at last been some criticism of this provision from the left. At 10:15 in the above video you see Keith Olbermann calling for civil disobedience against this provision if the health insurance bill is passed in its present form. I don't see how a really conscientious leftist could do otherwise than disobey it. As Jim Dean of Democracy for America has said:
So, the bill doesn’t actually 'cover' 30 million more Americans — instead it makes them criminals if they don’t buy insurance from the same companies that got us into this mess. A public option would have provided the competition needed to drive down costs and improve coverage. ... That's why, without a public option, this bill is almost a trillion dollar taxpayer giveaway to insurance companies.Yes, exactly. The individual mandate is a gigantic tax levy, paid not to the government but directly to corporate America. The only thing I would add would be to point out that a public option or medicare buy-in would merely have diverted some of this money to the government. It still would have been a gigantic gift to the insurance industry at the expense of the consumer.
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