January 19, 2015

THE RIGHT'S PUSH FOR NATIONAL HEALTH:

The Next Big Health-Care Shift Is Coming (Christopher Flavelle, 1/19/15, Bloomberg View)

Republicans who support decoupling insurance from employment, on the grounds that doing so would free people to change jobs more easily, may see the decline of employer-based insurance as something to cheer.

But there's another view, one that's less happy for Republicans. The sooner employer-based coverage becomes something that only a minority of Americans enjoy, the greater the challenge to the psychological barricades against government-sponsored health care -- whether that's Obamacare, as my colleague Megan McArdle has noted, or something more sweeping.

Whether this trend is good or bad depends how you feel about big government. Conservatives who oppose the growth of the redistributive welfare state may find it harder to explain the dangers of government insurance to an electorate that increasingly has no alternative.

The most important single fact about wealth inequality and the welfare state is that America is a democracy.  It's not a question of whether we're going to have a universal health system, just what kind.

Posted by at January 19, 2015 2:03 PM
  

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