[Note: This item comes from friend David Rosenthal. DLH]
Unspeakable Realities Block Universal Health Coverage In America
By Chris Ladd
Mar 13 2017
Election 2016 has prompted a wave of head-scratching on the left. Counties Trump won by staggering margins will be among the hardest hit by the repeal of the Affordable Care Act. Millions of white voters who supported Donald Trump stand to lose their access to health coverage because of their vote.
Individual profiles of Trump voters feed this baffling narrative. A Washington Post story described the experience of Clyde Graham, a long-unemployed coal worker who depends on the ACA for access to health care. He voted for Trump knowing it might cost him his health insurance out of his hope of capturing the great white unicorn – a new job in the mines. His stance is not unusual.
Why are economically struggling blue collar voters rejecting a party that offers to expand public safety net programs? The reality is that the bulk of needy white voters are not interested in the public safety net. They want to restore their access to an older safety net, one much more generous, dignified, and stable than the public system – the one most well-employed voters still enjoy.
When it seems like people are voting against their interests, I have probably failed to understand their interests. We cannot begin to understand Election 2016 until we acknowledge the power and reach of socialism for white people.
Americans with good jobs live in a socialist welfare state more generous, cushioned and expensive to the public than any in Europe. Like a European system, we pool our resources to share the burden of catastrophic expenses, but unlike European models, our approach doesn’t cover everyone.
Like most of my neighbors I have a good job in the private sector. Ask my neighbors about the cost of the welfare programs they enjoy and you will be greeted by baffled stares. All that we have is “earned” and we perceive no need for government support. Nevertheless, taxpayers fund our retirement saving, health insurance, primary, secondary, and advanced education, daycare, commuter costs, and even our mortgages at a staggering public cost. Socialism for white people is all-enveloping, benevolent, invisible, and insulated by the nasty, deceptive notion that we have earned our benefits by our own hand.
My family’s generous health insurance costs about $20,000 a year, of which we pay only $4,000 in premiums. The rest is subsidized by taxpayers. You read that right. Like virtually everyone else on my block who isn’t old enough for Medicare or employed by the government, my family is covered by private health insurance subsidized by taxpayers at a stupendous public cost. Well over 90% of white households earning over the white median income (about $75,000) carried health insurance even before the Affordable Care Act. White socialism is nice if you can get it.
Companies can deduct the cost of their employees’ health insurance while employees are not required to report that benefit as income. That results in roughly a $400 billion annual transfer of funds from state and federal treasuries to insurers to provide coverage for the Americans least in need of assistance. This is one of the defining features of white socialism, the most generous benefits go to those who are best suited to provide for themselves. Those benefits are not limited to health care.