Where many wanted universal health care, the United States instead got a half-hearted attempt at health reform in the Affordable Care Act. Instead of any significant reduction in scope of the F-35 program, 550 other aircraft will be scrapped, 25,000 personnel RIFed, and a whopping four F-35s cut from the total order. Instead of wholesale change, we tinker around the edges with a broken system.
This is just the latest in a long string of “government failures” and the inadequacy of a 20th-century bureaucracy to cope with the challenges and tasks for a 21st-century nation. Federal Acquisition Regulations, the inability of Congress to do much of anything except let programs and infrastructure collapse (much less show up to work or let anyone else do so), the healthcare.gov debacle – these are truly examples of areas in need of much greater reform than additions and edits (and areas in which only the federal government has the scale and the purchasing power to effect change on a national scale). The “system,” such as it stands, is crying out for a full-on rewrite, for bold thinking, vision, and more than anything, action.
I often find Matt Yglesias insufferable, but he’s on point here:
For conservatives, the myriad problems consumers had using the federally run exchanges was just another reason to abandon the goal of universal health insurance. The website issues have been viewed optimistically—almost gleefully—since if the site is sufficiently terrible, it may be impossible for a critical mass of people to sign up and the program will have to be substantially scaled back. Conversely, progressives had been hoping to build a system that didn’t just meet some bare standard of functionality but actually persuaded people that a larger state role was a good idea. After all, the user experience of private health insurance is hardly the greatest thing in the world. Building a great healthcare.gov was supposed to be part of a campaign to persuade people that government should be involved in areas that are more contentious than garbage pickup.
This is, of course, the culmination of a decades-long quest to not just shrink the federal government to a size where it could be drowned in a bathtub. For the modern Republican Party, healthcare.gov proves that their attempts to render the government dysfunctional have rendered the government dysfunctional. Pure “government terraforming.”
Bigger solutions sometimes are better solutions, and small plans do little to change an essentially broken system. What we have now is the result: a loss in faith that the government can do anything for anyone. Even among a younger, less rabidly anti-government generation, misguided dreams of a technological utopia separate from the clumsy hand of paternal governance abound. Who has faith in the US government to mail a social security check or help a city buy a single car for their subway?
The argument has often been among those who would seek to destroy domestic national governance that where federalism makes sense is in providing for the common defense and representing the collective states in foreign affairs. But now, of course, the government can’t even be trusted to do that. From a new Pew poll:
The most striking poll result is the share of Americans who believe that “the U.S. should mind its own business internationally and let other countries get along the best they can on their own.” For the first time since Pew began asking in 1964, more than half of respondents say they agree with that statement, a staggeringly high 52 percent. That number has historically ranged between about 20 and 40 percent.
These poll numbers reflect American public attitudes that are widely and strongly enough held that they could indirectly steer the White House, thus affecting U.S. foreign policy and perhaps the world itself. Obama already ran into this problem, for example, with his plan this fall to launch limited strikes against Syria as punishment for its use of chemical weapons against civilians. Overwhelming public opposition and overwhelming Congressional opposition fed into one another, ultimately killing the plan. Even though the strikes would have been modest compared to almost every other U.S. military action of the last 10 years, they were opposed far more vociferously, and that mattered.
This isn’t to say that the President should have advocated for a full-scale invasion of Syria. But it does reflect that the government isn’t trusted by a majority of its own population to do much of anything abroad or at home.
And so it’s hard to not conclude that at least for now, the Do-Nothing Party is winning.