Of course, Social Security had rollout problems too. And progressives at the time definitely lamented the concessions that were made as Social Security evolved from bill to law, including the exclusion of agricultural and domestic laborers [re: African-Americans] from the law. (Frances Perkins: “The whole thing has been chiseled down to a conservative pattern.”)
That being said, I think it’s important to keep this in mind every time the right starts complaining about byzantine complexities in the Affordable Care Act: We could’ve avoided many of these issues if this change-bringing administration hadn’t immediately ruled out the obvious progressive solution to the health care problem — a single-payer system of Medicare-for-all, like most other advanced industrialized nations enjoy, perhaps phased in with an immediate voluntary buy-in and a gradual lowering of the coverage age.
Instead, we adopted the Republicans’ proposal, the marketplace/exchanges plan originally conceived by the Heritage Foundation and enacted by Mitt Romney, without even including a public option to keep the insurers honest. And what’d we get for this ginormous unforced concession to the right? Nothing. Republicans still didn’t support the health care law in 2010, and they’ve screamed holy hell that it’s tyrannical government socialism for the past three-odd years — even though it was their plan to begin with.
Now, they’re deliberately sabotaging implementation of the ACA and trying to pin every misstep, including this rather sad website #fail, as a failure of the liberal project. As Konczal aptly points out, what’s failing here is the NEO-liberal project — the desire to embrace public-private, technocratic conservative ideas of a generation ago (see also: cap & trade), in the hopes that today’s conservatives will somehow be intellectually honest enough to support them too. That is a sucker’s bet every time.
One other important takeaway from this article: “[I]f all the problems are driven by means-testing, state-level decisions and privatization of social insurance, the fact that the core conservative plan for social insurance is focused like a laser beam on means-testing, block-granting and privatization is a rather large problem. As Ezra Klein notes, ‘Paul Ryan’s health-care plan — and his Medicare plan — would also require the government to run online insurance marketplaces.'”
In other words, here again conservatives are decrying exactly what they ostensibly espouse. Perhaps a better way forward on fundamental pieces of legislation, instead of playing Lucy and the football with the Republicans, is to try to enact our own ideas from now on.
Update: In Foreign Affairs, Kimberly Morgan makes much the same argument: “The real source of Obamacare’s current problems lies in the law’s complexity. A straightforward way to assure coverage would have been to extend an existing, well-worn program to more people…In the United States, [due to] political antipathy to government programs…policymakers regularly rig up complex public-private, and often federal-state, arrangements that are opaque to the public, difficult to administer, and inefficient in their operation.”
As a follow-up to this post, Gallup finds that support for legalizing marijuana has shot up to 58%, following a similar pattern as gay marriage in recent years. Again, if they want to mitigate the usual midterm electorate problem, Dems should follow the Rove playbook on this, and get weed on the 2014 ballots ASAP.
In Foreign Affairs, Henry Farrell and Martha Finnemore argue that, as a result of whistleblowing, the US is “no longer able to rely on easy hypocrisy“ in our foreign policy. “Secrecy can be defended as a policy in a democracy. Blatant hypocrisy is a tougher sell. Voters accept that they cannot know everything that their government does, but they do not like being lied to.”
Note: The link is behind a paywall, but Digby has an excerpt and thoughts up, as does Farrell in the Washington Post. This also reminds me of Neal Stephenson’s Neo-Victorians in The Diamond Age, which I presume is the tack a defender of our obvious diplomatic double-standards would take: “That we occasionally violate our own stated moral code…does not imply that we are insincere in espousing that code.”
That’s not a dis, mind you — I’ll definitely be seeing this. Even if I keep presuming we’ve already reached Peak Anderson, the only movie of his that really left me cold was Darjeeling Limited (although Bottle Rocket didn’t feel fully formed, and The Life Aquatic could’ve been better too.) But with Rushmore, Tenenbaums, Mr. Fox and Moonrise Kingdom on the positive side of the ledger, I’m still in for more. Besides, what a cast.
“A great portion of the courtier press that now expresses horror at what is going on now went gleefully along for the ride as it became inevitable…This means all of you who went along for the ride on torture, and on Iraq, and who hid under the bed after 9/11. This is how the power came to rest with Ted Yoho, who is a fool and a know-nothing. This is how historical inevitability is created. This is how its momentum becomes unstoppable. This is how the wreckage piles up.”
With the government shutdown and threat of default receding — until January — Charlie Pierce names names for how we got to this sorry point. “‘Government is the problem,’ said Saint Reagan in his first inaugural. And everybody, all of you sorry bastards, cheered, and made completely predictable the moment in which the power of the government would come to reside in…Ted fking Yoho.”
What he said. I’d only add that, while the media moves on to other things (until we lurch into the next crisis a few months hence), all the GOP crazies who sent us over the cliff three weeks ago are still here. They’re still in power. They’re still making mischief. The budget is still underfunded. And this administration still seems all-too-inclined to give them a social insurance-slashing “Grand Bargain” for their troubles. This is not over.
Some good news for a change, by way of Dangerous Meta: Scientists have developed (for mice, at least) what appears to be a breakthrough drug that could prevent Alzheimers and other neurodegenerative diseases like Parkinson’s(!):
“When a virus hijacks a brain cell it leads to a build-up of viral proteins. Cells respond by shutting down nearly all protein production in order to halt the virus’s spread. However, many neurodegenerative diseases involve the production of faulty or ‘misfolded’ proteins. These activate the same defences, but with more severe consequences…The researchers used a compound which prevented those defence mechanisms kicking in and in turn halted neurodegeneration.”