So Konczal is right to say that the implementation problems aren’t revealing problems with the idea of social insurance; they’re revealing the price we pay for insisting on keeping insurance companies in the mix, when they serve little useful purpose.
So does this mean that liberals should have insisted on single-payer or nothing? No. Single-payer wasn’t going to happen — partly because of the insurance lobby’s power, partly because voters wouldn’t have gone for a system that took away their existing coverage and replaced it with the unknown. Yes, Obamacare is a somewhat awkward kludge, but if that’s what it took to cover the uninsured, so be it.
And although the botched rollout is infuriating — count me among those who believe that liberals best serve their own cause by admitting that, not trying to cover for the botch — the odds remain high that this will work, and make America a much better place.
Saturday, October 26, 2013
The Price We Pay
Paul Krugman, Why is Obamacare so Complicated?:
Posted by David Appell at 10/26/2013 07:05:00 PM