The greatest mistake Hillary Clinton made, way back in 1993 -- the calamitous opening she gave the neocons, who then came roaring into power -- was to try fixing the health mess all at once, in a sweeping act of policy-wonkdom. It only gave her foes an opening to ridicule the complexity and centralized, federal hubris of her plan.
Moreover, it ignored some basics of American psychology. Our inherited frontier ethos idolizes a type of individualist self-reliance that -- even when it is mostly illusory -- we often cling to at all costs. One result: an attitude that adults ought to find their own way, sink or swim. Or, at least, enough Americans felt that way to reject any thought of an overall federal system.
(Part of a 12/08 series of “unusual suggestions for America and the Obama Administration.”)
But Americans are a lot less callous, and effectively more socialistic, when it comes to kids! An overwhelming majority support public education and (more narrowly) backed affirmative action in schools. Because it is far easier to persuade us that all young people should be helped to the same starting line than it is to suggest fixing the final results of the race.
Let’s chew on that distinction, for a moment. “All men are created equal.” That isn’t the same as ensuring equality of outcomes. (Bill O’Reilly’s relentless false accusation is that liberals aim at leveling outcomes -- an out-and-out, bald-faced lie that is supremely laughable, especially since a capitalism and competitive markets always do better under Democrats.)
Nevertheless, “All men are created equal” does suggest that... well... no child should be crippled before the starting gun is fired.
Face it. If Hillary in 1993 had said: “Let’s just concentrate now on taking care of all the kids,” she would have won, easily. Newt never would have had his killer issue. And by now, after 14 years, the Child Health Care system would have had enough kinks ironed out and would be covering the elderly, too.
And the grownups who were left with private insurance? They would be pushing theit policy companies against a wall, demanding they improve or face their bitter end.
Key point: President Obama has plenty on his plate already and very little spending money. Yet, people expect something to be done about health care. Hence, I suggest that he at least consider this option of starting with the kids.
This approach has several advantages:
1) It can be done swiftly. No complicated insurance company illusions. Simply go to Canadian-style single payer just for those under 18. Perhaps bill all parents on their income tax for a basic, FICA-like premium. We’ll all love it, especially if the cost is lower than the kid-premiums in our present policies.
2) Conservatives wouldn’t dare say no. They’ll scream about “slippery slopes.” But the American psyche would be on Obama’s side this time. So would a hundred million worried parents.
3) It will terrify the insurance companies into cooperating on some next step.
4) All kids would get uniform preventive care, at relatively low cost, attacking the crisis at its most basic level. Moreover, there would not be an issue of European style age-based care rationing, since children get maximum care, no matter what. That quagmire can be put off for a while.
All right, that’s my unusual suggestion about health care. I don’t expect either side to like it at all!
But that’s what I do.
--Continue to Suggestion #15: Truth and reconciliation...
THIS IS PART OF AN ONGOING SERIES: Suggestions to the new administration
Part 1: Unusual Suggestions for an American Undergoing Change
Part 2: The Horn of Africa
Part 3: Radical Transparency
Part 4: Watch out for a supra-national Aristocracy
Part 5: Avoid a crisis caused by "just-in-time"
Part 6: Repair the U.S. Civil Service
Part 7: Free the Inspectors General!
Part 8: Micro-Suggestions about the Economic Crisis
Part 9: Restore the Army, the Reserves and the National Guard
Part 10: Enhance our nation's (and civilization's) overall resilience
Part 11: Control the borders
Part 12: Investigate Wartime Contracts
Part 13: Restore Independent Advisory Agencies for Science and Technology
Part 14: Insure the kids
Part 15: Truth and Reconciliation
Part 16: More Truth and Reconciliation: bring crooks to justice
Part 16b: Truth and Reconciliation Addendum
Part 17: Political Matters
Part 18: Time to do something about Gerrymandering