Comment by ianbutler
17 hours ago
Sounds like we need to dismantle and replace this broadly dysfunctional system at multiple points. It's not like the US insurance landscape is anywhere close to the best way of handling healthcare if you look at many places in the world.
I used to think this too. But the past couple of years have soured my taste for "dismantle and replace" of vital institutions.
I still think healthcare needs to be reformed, and I hope that insurance will someday be a thing of a past, but I've hung up my chain saw for now.
This is because "dismantle and replace" (or perhaps in other words, "defunding") is not a serious, viable solution to many of the societal issues we face.
Things were ruined slowly. They unfortunately will need to be fixed very slowly too.
I don't think that's going to work. We need broad political change and then that has to work rapidly to legislate this. I don't think slow and steady has done anything but lead to the decay our institutions over the last 70 years.
this can work until you hit a crisis point; i think one issue is we are sliding faster in the wrong direction (increasing bureaucracy, increasing fees, wait times, overwork etc) so "slowly" can work but only if its "fast enough" if you get what i mean (people are really suffering out there)
It's increased mine if it works for the repugnant morons in government right now we can use the same playbook for positive change.
It is statements like this that convince me we haven't learned anything and are doomed to ever wider pendulum swings.
It's easy to destroy but hard to create. If your goal is to further destroy then I suppose that's achievable, but I have a hard time picturing what positive change is going to come from it.
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You've witnessed a dismantle and replace effort by the right wing that wishes to squeeze everything to make rich people more money. An effort by the left would destroy the private insurance scheme and build up medicare. Completely different and you'd get something functional.
When the wrong targets get destroyed, everyone suffers. When parasitic forces are destroyed, the system functions better. It's the difference between defense and friendly fire.
We already had an effort by the left. You can “no true scotsmen” if you want, but it represents the reality of what will happen when ideals clash a sector that makes up 18% of the GDP.
What’s going to be different now than in 2010?
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Why is this downvoted? What the (far) right wing has done to american institutions is incredibly destructive and it will take decades to fix it, if that's even possible. People are hurting because of it.
Replace first, then the old broken one will fade away.
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