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Ezra Klein: The Future vs. The Present
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October 30, 2007
The Future vs. The Present
This David Brooks column is actually quite trenchant, at least so far as health care politics go. He correctly identifies the central reality of health care politics, which is that most Americans are basically happy with what they have, but worried about keeping it. Policies that guarantee their futures are quite popular. Policies that radically change their presents are not.
This, of course, is what helped doom the Clinton plan -- everyone's insurance would've changed. That was scary to people. The new Clinton plan, like the Obama and Edwards plans, doesn't attempt any such reorganization. If you have, and are happy, with your insurance, nothing changes. If you don't have insurance, you can get it. This is worse policy, because it keeps you from reorganizing the system in ways that make sense and ensure cost control. But it's better -- really, the only -- politics. And the reforms make later cost control measures easier.
October 30, 2007 Permalink
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Yup. Brad De long made that point recently, too. Only try to implement what would be supported by the House, Senate, and a broad public. Politics 101, imho.
:-/
Posted by: Gray Oct 30, 2007 12:44:10 PM
It's truly amazing just how far the left has backpedalled on health care reform. A year or two ago, the battle cry was "Single-payer and nothing less!" "For-profit health insurance is inherently evil!" "We must separate health insurance from employment!" Now, all of those supposed non-negotiable principles have been thrown in the dumpster.
I love the comment about cost control: "...it keeps you from reorganizing the system in ways that make sense and e"
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