The healthcare debate in D.C. is following predictable form: Miles off track with the media hyperfocused on the politics, rather than the substance. The coverage focuses heavily on the daily ins and outs of the political struggle, the D.C. winners and losers.
Will Republicans be able to placate the Freedom Caucus and still keep moderates? Will they put together something that can get through the House and have any life in the Senate? Is Ryan back-peddling? Is Trump? Will McConnell detonate the nuclear option? Is it Trumpcare or Ryancare?
The thing is, most Americans outside of political junkies don’t really care about that.
They do care about whether they will be able to afford health insurance. They do care about whether our country will drowned itself in unsustainable debt. They do care about their children’s future. But those are rarely the story. Because the truth is that in Washington, D.C., Americans are basically pawns to be played in the furtherance of personal agendas.
On the rare occasions when the substance of the proposal is actually explored, it is mostly along the lines of how many people are covered, will be covered, won’t be covered, how much it will cost, how the changes will play out politically for each party, etc. Those are fine in their place, and should be regularly reported on. They are not.
What Washington and the media never, ever talk about is the principle of American freedoms, which is at the heart of this. Virtually no one wants to talk about it.
So, status quo in the swamp. And for Americans.
The old liberties for security trade
But here is the whittled down nub of the issue: How much personal freedom are we willing to give away to get a little healthcare security? Because the reality of the human condition always and forever is that some people will be irresponsible with their life decisions — from relationships to finances to health.
So there will always be a percentage of Americans who do not want to purchase, or simply will not purchase, health insurance. Here’s the thing: They should be free to not and that point of freedom should be argued strenuously.
Because the only way to stop that dynamic is to give government total authority to force every single person to have health insurance. That was what Obamacare attempted to do, require every American to either buy a product — health insurance — or be fined increasing amounts by the government to financially force them to to buy it.
In an enormously tragic precedence, the Supreme Court made a political calculation and approved the forcible purchase requirements under Obamacare by calling it what it was not, what is authors including President Obama argued it was not, so as the court could rule it “constitutional.” Truly, a constitutional travesty.
Among the many things wrong with Obamacare, this was perhaps the most egregious because it went to undermining fundamental freedoms. It wasn’t just bad policy, or inefficient, or expensive — which are all true. It was a denial of basic liberty, the concept upon which our nation was founded and thrived to be what she is today.
Benjamin Franklin said, “Those who would give up essential Liberty, to purchase a little temporary Safety, deserve neither Liberty nor Safety.” Franklin was looking at the real physical and economic threat of a distant tyrant.
And so are we, though not so distant.
The real cost
Obamacare undoubtedly reduced the percentage of uninsured Americans, or more accurately, uncovered Americans. This was accomplished by expanding Medicaid — direct welfare — subsidizing plans in the state exchanges — indirect welfare — and forcing every American to participate — coercion. Even then, the total number of Americans not covered in some fashion, only declined a few percentage points.
Trillions of dollars, catastrophic rises in premiums and deductibles, loss of health care insurance options — often down to one in an entire state — all to pick up a few percentage points. About 9 percent of Americans remain without health insurance.
If Republicans did nothing more than simply repeal the Obamacare mandate, at least 10 million people would no longer have coverage, according to the Office of Management and Budget estimate of the repeal measure. The media reports this as Americans who will “lose” their coverage, but this particular 10 million will actually choose not to have coverage.
Whether that is a good idea or not is debatable. What is not debatable is what it represents: Freedom.
Because unless the government forces people by law to have health insurance, some will not. Freedom calls us to allow them to not and accept the consequences. Otherwise, with this precedent in place, the government could also make the case for regulating what we eat (because eating healthy is good for us) and forcing us to exercise (because exercising is good for us.) It could also require us to buy, say, solar panels and electric cars, because it deems those to be a good thing like health care insurance is a good thing.
You see the problem here. There is really no end to it, which is why it was a line that should never have been crossed.
So yes, Obamacare is costing hundreds of billions of dollars and would continue to until its complete failure. But it’s real cost is the loss of American liberty. And precious few seem to care.
Alas, Republicans fighting on Democrat ground
Republicans however, will not fight this on the grounds of freedom, the high ground and the right ground. They allow Democrats and the media to define the terms and put Republicans on the defensive on bad ground.
Republicans are doing what they always do, and part of it is the swampy D.C. mentality. Republicans end up abandoning conservative principles and going with Democrat-lite. They are willing to expand government, just less so. They are willing to raise taxes, just not as high. They are willing to trade rights for securities, just not as fast. But inexorably this moves in the same direction: More government control, more “free” giveaways, fewer American freedoms.
The health care coverage debate is a perfect example.
Democrats built it on the Democrat ground of heavy-handed government control and giveaways, and dared Republicans to come after it. To boil it down, in Obamacare, Democrats gave more Americans more free stuff that was not their’s and that we cannot afford — at the cost of lost freedoms — and Republicans now want to take some of that free stuff and restore those freedoms.
This of course is rough politics for Republicans, as so many Americans have lost the sense of liberty, self-reliance and personal responsibility. Too many are willing to trade a lot of liberties for a little security. But part of the reason for that is that no one is making the case for this and other issues on the grounds of freedom.
But in reality, Republicans aren’t even making the freedom case — or do so rarely. They want to make sure enough Americans get enough free stuff so they can be re-elected.
Taking away an entitlement once in place is just never done, and Democrats knew that in 2010. A big part of Obamacare is the entitlement portion. But that is only a problem if Republicans fight this on the grounds of coverage and giveaways, and not on the grounds of essential liberties.
Republicans hold every nationally elected office of power and there is one window for fixing the Obamacare debacle. If it does not happen now, Obamacare will be a permanent fixture of our health care system until it totally fails, and sucks the healthcare system into its death swirl.
The final step will be nationalized healthcare.
And the result will be an even greater loss of freedoms, and precious little in the way of securities. The worst of trade-offs.