WHY AMERICA NEEDS A SHRINK
If America were an individual, she would long since have experienced an intervention where a trip to a competent psychiatrist would have been highly recommended.
Maybe our good friends France, Germany, and Great Britain could step in and gently make us confront our schizophrenia, pointing us toward the psychological help we need. I hear Russia is reasonable as far as hourly rates but Iran’s shock therapy might be just what the doctor ordered.
On one level, the debate in America over national health care is a political tussle. The mud wrestling, eye gouging, and hair pulling that is going on between the two sides can be seen in the context of many of our more contentious debates over issues like race, war and peace, or gay marriage.
But on another level - and I am not trying to be melodramatic - this is a fight over the soul of America. Perhaps all big political battles have this element lurking underneath the debate, but national health insurance, far more than any previous political scrum, holds the potential to change America in ways that even the most die hard proponents of the bill can’t imagine.
I have written often that change is what America is all about; that we stand still for nothing or nobody and that we either adapt to change and prosper or refuse to accept it and wither away. This process has always been affected by conservatism and it’s notion that there has to be some elements in our society that are worthy of handing down to the next generation, that change must be orderly, channeled, and that it fits in the framework laid out at our founding. In this way, the vast majority of Americans come to accept the change peacefully.
Why then the resistance to national health care? It isn’t just “tea baggers,” I would say to my liberal friends. There is genuine distress over this issue among at least 1/2 the population - probably more. Dismissing these concerns in a political context where opponents of reform are caricatured as (take your pick) racists, heartless monsters, or wildly out of touch “angry white men,” may be unavoidable, but I wonder if you realize that most opponents of national health care take issue with those cartoonish criticisms.
At bottom, most Americans really do see this issue as a question of what kind of country we should be. The latest Gallup poll reveals that there is great uneasiness over what the Democrats are trying to ram through:
More Americans now say it is not the federal government’s responsibility to make sure all Americans have healthcare coverage (50%) than say it is (47%). This is a first since Gallup began tracking this question, and a significant shift from as recently as three years ago, when two-thirds said ensuring healthcare coverage was the government’s responsibility.
Gallup has asked this question each November since 2001 as part of the Gallup Poll Social Series, and most recently in its Nov. 5-8 Health and Healthcare survey. There have been some fluctuations from year to year, but this year marks the first time in the history of this trend that less than half of Americans say ensuring healthcare coverage for all is the federal government’s responsibility.
The high point for the “government responsibility” viewpoint occurred in 2006, when 69% of Americans agreed. In 2008, this percentage fell to 54%, its previous low reading. This year, in the midst of robust debate on a potentially imminent healthcare reform law, the percentage of Americans agreeing that it is the government’s responsibility to make sure everyone has health insurance has fallen even further, by seven points, to 47%. Half of Americans now say this is not the government’s responsibility.
I would hazard a guess and say that all the while that national health care was an abstract idea, it enjoyed broad support. But now that we’re getting close to actually realizing that goal, people are getting cold feet. And the reason goes to the heart of defining what this country is all about.
Whither government in America, ask the people? How much should we allow it to do for us without losing something essential that makes us who we are? Are we really all that different of a people from everyone else on the planet? Is there an identifiable “American character” that sets us apart?
Our ancestors certainly thought so. Alexis de Tocqueville agreed. Indeed, it may be out of fashion to talk about the basis of our Constitution, but if we ever forget the idea that all power flows from the consent of the governed and not the other way around, we are doomed to suffer a significant loss of personal freedom simply because government can do pretty much whatever it chooses to do unless the people withhold their consent. There hasn’t been a lot of that these last 40 years and government’s ravenous appetite to do what all governments, once created, and regardless of who is in charge, seek to do - control - has gotten out of hand.
This despite the best of intentions of government’s major cheerleaders, and their belief that society can be perfected with the application of the principles of social science; seek out root causes of society’s problems and address them.
In their eagerness to improve the lot of the American citizen, a government has been created that stopped asking permission and now simply runs roughshod over the very idea of “consent of the governed.” Perhaps American society has become too complex for government to stop its manifest destiny to control, influence, and otherwise interfere in our lives. It certainly seems that way when looking at national health care. And those Gallup numbers reflect that notion. No one understands what’s in the bill. All they know is that, for the moment, it massively increases the role of government in people’s daily lives.
I liken it to the very first draft initiated by President Lincoln during the Civil War. The riots that took place in New York City and elsewhere, along with the general unease with the very idea of conscription demanded by Washington was a symptom of something much bigger; the idea that the national government, for the very first time in American history, could reach out and tap the ordinary citizen on the shoulder. Prior to that, the only contact that most people had with Washington was through the Post Office. The draft (and other Civil War era initiatives like nationalizing currency) went against the ideal people held in their imaginations of what kind of country America was.
I think those Gallup numbers reflect a similar unease. And here is where the real schizophrenia of the American people is demonstrated.
People actually want health care reform. They want a public option. They want health insurance to be cheaper and available to all. And they don’t think people should be denied insurance just because they have a pre-existing condition that insurance companies say makes them ineligible. Every poll taken confirms these facts. We talk a good game with regard to self-reliance, individual liberty, and being true to our Founding principles. But when it comes right down to it, the majority of us want government to relieve our burdens and make our lives easier.
It may make us less free, but many of us are willing to trade that freedom for a little security.
You can argue that we’re not losing anything by having government eventually taking over 1/6 of the American economy, but that is nonsense. We are about to hand government an enormous amount of power along with the ability to control our lives in ways that can only dimly be glimpsed at this point. If you think this a positive good, fine. But please do not insult our intelligence by claiming that national health care will be so much better because we will get rid of evil insurance companies, ride herd on Big Pharma, or stick it to those rich doctors and hospitals.
I imagine despite the unease that people feel over health care reform, we will eventually come around to accept it if it passes. And we will continue to fool ourselves that the version of America many of us hold in our heads that celebrates the freedom and individualism that marked roughly the first 150 years of the American experiment is still a viable model to define who we are.
But eventually, that disconnect between who we are and who we think we are will have to be confronted. What will replace it? I haven’t a clue.
Maybe we can ask Spain for a second opinion.