It’s not unprincipled to simultaneously believe in rugged individualism for those who can and a safety net for those who can’t. We can quibble over where to draw the line, and the conflicting ideologies may make purists cringe. But for anyone who believes that no person should lack for health care in America, it’s hard to shrug off poverty with the cartoon character of the welfare queen.
There are poor people in America who didn’t do anything wrong to be there. Some suffered misfortunes outside their control. We have a severe dearth of decent-paying jobs, despite the lie of low unemployment. Technology has produced massive structural un- and under-employment, even if you’re enjoying hipster heaven coding for cash. There are hard-working poor who need health care and can’t afford it. There are people with serious illness who need it.
And there is a vast middle-class whose real earnings have declined seriously since 2007, with no hope of improvement, who don’t exist in the Washington spin cycle. While the ACA served the poor, the struggling middle class was burned on both ends. Premiums remained high, and went higher, while deductibles and co-pays ($7,150 for 2017) made their policies worthless unless they suffered severe illness. This was catastrophic insurance, which is fine when you suffer a catastrophe, but is a worthless sinkhole otherwise.
An unattributed comment about the Republican health care bill was that Trump understood neither the politics nor policy of what he was doing. This is what comes of electing the guy who makes empty promises of greatness without the details that Americans had historically demanded of people before they voted for them. Claiming he had a great plan that gave everybody everything is easy. Having a great plan is very hard. Continue reading

