I have enough faith in the people who day in and day out deal with health-care to move forward. They include doctors, nurses, hospital administrators, insurance employees, pharmaceutical companies (even the sales reps), and ultimately, you and me.
Yet I also observe that man is a political animal, and can see how the subtlety and complextity of this issue (or any issue) is so often rendered into political sausage and earmarked pork. Politicians do what they do best; seeking political advantage, crafting their message to fit the times and their constituencies, and hopefully representing you and me if we vote and hold them accountable. Beyond that, I’m skeptical.
If you are a true liberal or progressive…don’t you value individual freedom enough to recognize that the kind of political idealism you display (America is ungovernable!) can also lead to political stagnation, over-reach, and potentially a loss of individual freedom?
To some conservatives I know: doesn’t Obama’s political sacrifice involve the address of a cost problem. Aren’t we wasting money with our emergency room triage centers? What do we do about this in our own lives? Perhaps there are options beyond tea-party populism…and opportunities to use this moment, at the very least, to wiser political advantage.
Politics plays a part, but how big a part should still be up for debate in my opinion…
Also On This Site: Atul Gawande suggests some ideas for how big a part: Atul Gawande At The New Yorker: ‘Testing, Testing’…From The New Yorker: Atul Gawande On Health Care-”The Cost Conundrum”
Addition: A friend points out that one barrier to free trade (and a talking point even on the left) is protectionism in our farm markets…so if you nationalize, be prepared to deal with unforeseen consequences down the road?