26 July 2017

A pretense of healthcare

So various exhortations show up to the effect of "stop trying to kill people by taking away their healthcare" in reference to the current American political situation.  ("debate" would be going somewhat too far.)

This is a reasonable thing to complain of, but I think misses the point.

"To spend is to tax", to quote Milton Friedman.  What's going on is the continued assertion that the government has no right to tax.

It has no right to tax because it spends money for bad reasons (that is, to benefit those whom God has judged and found wanting; you can tell because they're poor, or not pale, or female) and because to remove the wealth of good people (to be rich is to be good, and let us pass lightly over those who aspire to goodness but have yet to achieve it) is itself a sin.

That's it.  That's the whole thing. It's internally consistent, and it's easy, and it copies itself into the future really well. It's a looters ethos, indifferent to the simple fact that looting is destructive.  (You might get the gold and the jewels out of Lindisfarne, but you still burnt it down in the process.  People died.  People will freeze and starve.)

This seems to be an inevitable response to wealth concentration; insecurity management by wanting more money is not effective in the long term, because it will eventually break the economy, and then the money can't buy anything.

So right now there's a view that "you know, decency and efficiency and an awareness that we can't predict the future all indicate we ought to have a carefully regulated single-payer health care system" and a view that health and wealth indicate virtue and if you haven't got those things God doesn't want you to have them.  (Yes, this has something to do with White Supremacy the economic system, but it's not quite that.  It's more about who is allowed to be holy (wealthy, same difference) than it is about the direction of resource flow.)  It's not about healthcare or decency or even the strange and terrible religion that money is proof of holiness; it's about the legitimacy of taxation, which must be strongly asserted.

There's a simple fix -- coming up with a better distributed rationing system than money isn't simple, though I'm sure we could and I'm sure we need as good a rationing system as we can possibly obtain because food security's going away at a great pace -- which is to re-monetize, but not at one to one.  If you're rich, you stop being rich.[1]  (If you're a Russian gangster with bales of US hundred dollar bills, well.  You're an idiot, and now you're an unhappy idiot, which might not be an argument against.)  (This is, after all, why FDR is hated with such a complete hate; FDR effectively did this, and made the money less holy thereby.)

Easy, no, not easy, but if any outcome involving a surviving civilization is going to take a certain vehement insistence that the very wealthy participate in the statistics of doleful outcomes anyway, might as well try for better long term stability.

[1] cap income at 10 times the lesser of the mean or the median income; cap assets at fifty times the income cap.  (That is, you worked from 20 to 70, maxed out every year, and kept all of it.)  With a median income around 50 k, that's 500k and 25 million, respectively.  Not a threshold of suffering.)