Discussion about this post

User's avatar
Exregulator's avatar

Lawyer here, and I spent my entire career working in the regulated utility sector. The reason we regulate utilities is because the free market does not work well to deliver service at reasonable cost. I believe this is true for health care as well. I can hear all the jokes even as I type. But it sure seems to me that we have allowed ourselves as a country to believe that the market forces can deliver health services at lower cost, when it is abundantly clear that health care is not amenable to the kind of shopping and cost comparisons that will discipline most areas of the economy. And, we have allowed insurance companies to do the ‘work’ for us. We don’t really need a health insurance industry. But we have it because the money in that industry swamps most democratic efforts at reform.

Expand full comment
Elliot Carlin's avatar

The problem with your analysis is that it doesn’t sufficiently emphasize how dangerous anarchy is. Trump and his MAGA thugs gain support for breaking down a broken system. But in the aftermath, the very forces that perpetuate the broken system benefit and the people supporting the political anarchy are left worse off than before. Can anyone reasonably think insurance companies will be kinder and gentler in the aftermath of the killing? Can anyone reasonably think that John and Jane Q. Public will be better when Republican thugs decimate Medicare, Social Security and the right to decent healthcare? The Democrats’ main failing is their inability to make the case that Trump and his cronies are completely corrupt, that Republicans in power means a constant assault on democracy, and that the only ones who benefit are big corporations and the ultra wealthy. Are we going to be better off if we survive the next four years? We will not. Let’s make a convincing case for this and people will return to the Democratic fold.

Expand full comment
344 more comments...

No posts