Adam Greenfield has written an excellent and truly insightful analysis of the US healthcare reform issue: “On systems, and what they do.” From the perspective of an American expatriate in Finland—or just about anyone in the developed world other than the US—issues such as universal healthcare were decided long ago. Political parties still argue about how best to meet the needs of the populace, of course, but no one talks about dismantling the social infrastructure. No one disputes the core tenets.
As Greenfield writes, “it’s not that the opponents of national health are playing the same game by a different set of rules. They’re playing a different game entirely. That is, a plurality of the folks who oppose some kind of public-sector involvement in health insurance almost certainly are not interested in helping to articulate a best-fit, balanced solution that would be minimally acceptable to everyone. Their all-but-stated aim is to deny, attrit, isolate, suppress and, ultimately, shatter their opponents.” Actually, the aim has been clearly stated, but that’s a minor point in a much bigger picture.
Opponents to national healthcare in the US have found an unpatched bug in the operating system that is American democracy, according to Greenfield, and all they have to do is exploit the vulnerability to win.
In 2003, I had a catastrophic equipment failure in my office. My working hard disk—including all of my manuscripts—and its backups were destroyed. Back then I never archived my projects, only backed them up, redundantly. I thought that was enough. I was mistaken. In referring to my earlier writings, I discovered that much of that writing holds up pretty well, so I’m reproducing it here for reference and the record. This article is from Macintosh Hypermedia Volume I, Reference Guide (Scott, Foresman and Company, 1990).
The vast majority of American citizens want single-payer, universal healthcare coverage. Fully 72% (only 20% were opposed) of the citizenry want a “government administered health insurance plan like Medicare that would compete with private health insurance plans” according to a
The Carnegie Council has published an excerpt of a panel discussion in which