A Victory that Will Breed More Victories
As we celebrate a historic victory on health care, I want to place my bet on why this victory will lead to many others in the future. November 2010 may or may not be a bit bloody in partisan terms -- I am more optimistic than some that supporters of health reform will do better than expected -- but in the long run, this bill will set the stage for ongoing progressive gains.
Part of the raging debate is whether this bill would entrench the power of private insurance companies (as some on the left have argued) or be a slippery slope towards even more government control of health care-- as many on the right vociferously claim. I mostly side with the rightwing (and a few left voices) and Mark Steyn makes the point for me (on the flip):
Whatever is in the bill is an intermediate stage...the governmentalization of health care will accelerate, private insurers will no longer be free to be "insurers" in any meaningful sense of that term (ie, evaluators of risk), and once that's clear we'll be on the fast track to Obama's desired destination of single payer as a fait accomplis.While I'm less convinced we get to full single payer -- ideological obstacles like abortion and immigration will remain and encourage sloppier variants -- I agree with the basic idea that creating any framework for health insurance delivery limits insurance company gamesmanship and will make them (likely still profitable) public utilities in many ways. But the deeper change is that the non-elderly middle class will now have major skin in the yearly debates on health care spending; again Mark Steyn:
It's a huge transformative event in Americans' view of themselves and of the role of government...governmentalized health care not only changes the relationship of the citizen to the state but the very character of the people.And Steyn raises another point-- once the middle class recognizes a direct tradeoff between spending on overseas military adventures and the amount of subsidies available for their families, they very well may turn against the ridiculous amounts of money the U.S. spends on defense compared to every other nation. Mark Steyn hates the idea that "Five years from now, just as in Canada and Europe two generations ago, we'll be getting used to announcements of defense cuts to prop up the unsustainable costs of big government at home." I of course love the idea-- and needed government services become quite sustainable without the military bloat.
Maybe some of the leftwing critics of health reform are right that this year's version is a cul-de-sac that will trap Americans in expensive private insurance. But I actually side with the analysis of rightwingers like Steyn (like Bill Kristol before him) that national health care of any kind is a slippery slope to social democracy, from which conservatism in its Reaganite form will not recover.

















There is nothing in the new law that will empower the middle class. In fact, just about everyone will benefit from the new laws EXCEPT those in the middle class.
If you're sick, you'll benefit. If you're a senior, you'll benefit. If you're poor, you'll benefit. If you're young and poor, you'll benefit.
Those who will not benefit are those who already make just enough to afford insurance. The new law basically assumes that if your head is above water, i.e. you can currently afford health insurance for yourself and/or your family, then you are fine and do not need any government assistance. The problem with that is it doesn't take into account how hard many middle class people are treading water to keep their heads afloat.
Moreover, in no way do the new laws castrate the power of insurance companies. If they will indeed magically have 30 million new customers (as Obama claims), they will be more than happy to retain their sickest and most expensive policyholders; particularly when the government will be footing all or most of the bill for these new enrollees.
It's like telling your traveling salesman that he can no longer dine at 4 or 5 star restaurants and must now only frequent those of the 3 star quality. But, in return for this step down, the company is now willing to cover 100% of his expenses, no matter how high it may be; as opposed to a fixed per diem.
March 22, 2010 11:17 AM | Reply | Permalink
It's a huge transformative event in Americans' view of themselves and of the role of government...governmentalized health care not only changes the relationship of the citizen to the state but the very character of the people.
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December 13, 2010 10:12 AM | Reply | Permalink
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April 6, 2011 10:15 AM | Reply | Permalink
Government control on healthcare is not as bad as people may think, it works pretty well for Canada and Western Europe.
March 22, 2010 12:24 PM | Reply | Permalink
Have you been there, or are you just going on second hand info? I spend a lot of time in Canada, and there are a lot of problems, especially with long wait times and no access to specialists.
March 22, 2010 7:26 PM | Reply | Permalink
I really hope that it does lead to single payer. I do have friends in Canada and around the world and they think our healthcare is ridiculous. In Canada polls routinely show that the father of their healthcare system is consistently voted the greatest Canadian of all time (above celebrities and etc.).
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April 27, 2010 3:17 PM | Reply | Permalink
Yes! there are a lot of problems...
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October 1, 2010 5:27 AM | Reply | Permalink
I'm not too keen on the idea of government control of health care. I thought we were living in a democracy - a free government with capitalism. I see things are starting to change though.
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August 14, 2010 11:07 PM | Reply | Permalink
Crisis makes changes..
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October 31, 2010 12:18 PM | Reply | Permalink
That might be true for US and Canada, but it the same for all country.
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October 9, 2010 11:26 AM | Reply | Permalink
This was a really great victory for me and the rest of the country. I think that the country will get better due to these changes.
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April 13, 2010 10:17 PM | Reply | Permalink
Health care is only the start of what is to come. Its time to make America the best country in the world again and to have the best economy.
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April 16, 2010 7:58 AM | Reply | Permalink
And what did you expected? is there was any government at all, who really cares about its people?
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November 10, 2010 4:16 AM | Reply | Permalink
I think the government is going a little to far trying to take over all of these different industries. I think people should have free health care but if you think about it how could it be free? Someone has to pay for it? I think they are a little misleading.
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April 17, 2010 10:58 AM | Reply | Permalink
I agree
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October 31, 2010 12:21 PM | Reply | Permalink
Only time will tell if the Health Care Victory is really advantageous for most Americans. A lot of people have some real legitimate concerns in regard to this legislation. Thank you for the post.
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April 18, 2010 12:16 PM | Reply | Permalink
That's soo true. Only time will tell
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October 31, 2010 12:22 PM | Reply | Permalink
I think that the government needs to slow down a little and really try to get us out of debt. Its hard to believe that people can spend money like this. I run computer repair thousand oaks and our taxes have risen 5 times in 5 years! They need to start caring about the tax payers.
April 18, 2010 12:45 PM | Reply | Permalink
It has been a great victory indeed but what we fail to recognize is that this victory has many good consequences or should I say results. This victory as a matter of fact will lead to more victories in the coming future. There will definitely be progressive gains despite the fact that November this year is going to get a little bit bloody in terms of partisan! Let’s hope for the best!
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We do not know the results of this legislation. I am surprised that a debtor nation agrees to spend more money increasing the national debt. Thank you for the post.
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May 14, 2010 8:59 PM | Reply | Permalink
Show me the country without debts :D
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We do not know the results of this legislation. I am surprised that a debtor nation agrees to spend more money increasing the national debt. Thank you for the post.
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May 14, 2010 9:00 PM | Reply | Permalink
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We do not know the results of this legislation. I am surprised that a debtor nation agrees to spend more money increasing the national debt. Thank you for the post.
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May 14, 2010 9:00 PM | Reply | Permalink
would agree, the true known facts of this legislation will not be known for sometime. I would argue will almost certainly that Gov't intrusion has not helped the Canadian & European system.
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this is a terrific article but I truly worry about the implications of this reform nonsense not just on people but on the economy at large which is under true duress.
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I would agree, the true known facts of this legislation will not be known for sometime. I would argue will almost certainly that Gov't intrusion has not helped the Canadian & European system.
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July 5, 2010 1:32 PM | Reply | Permalink
Is there any place in social media where americans can actually discuss health care? It might seem stupid, but i guess plenty of people would adhere, and it might be a good place to explain what’s going on, because I believe plenty of americans have no idea what this health care reform means.
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I think this was a great health care victory. Who knows what will happen next! I think Obama is facing some really hard knocks at his time in the white house.
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July 10, 2010 4:49 PM | Reply | Permalink
I am not looking forward to health care reform. I don't think that people should be forced to have federal health insurance. I think people should have a private option and not be penalized.
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July 10, 2010 6:35 PM | Reply | Permalink
Nice article, and i totally agree with your opinion about middle class.
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I am so glad to see health care being passed. Lets get in gear and put in place. The government needs to push this more. People need insurance.
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This is really a monumental decision in the United States. I don't personally agree with ramming something down the throats of the American people but it is what it is.
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This is just a small step towards singlepayor. they want to mess up health care more that way we will complain more. Single payor just gives power to the people who created the problem.. the us govt. cheap health insurance
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I have to agree that healthcare reform is a great victory.
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