Conservative Healthcare

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If healthcare reform passes, conservatives are planning to mount a constitutional challenge to the individual mandate on the grounds that the federal government doesn’t have the right to force you to buy a product from a private corporation. This is doomed to failure, and Ezra Klein argues that that’s a good thing for conservatives themselves:

Long-term, conservatism could suffer no greater disaster than the death of the individual mandate. This country will have a national health-care system, and sooner than later. The cost pressures make that inevitable. If you want that national system to be private, as most conservatives do, then your only hope is the individual mandate. That’s been true in countries such as the Netherlands and Switzerland, and in Singapore, which is often upheld as a conservative model, contributions to health savings accounts are compulsory. Eliminate those options from the U.S. menu, and you’re ensuring that Medicare, Medicaid or some sort of public option will eventually take over the market, as there’s no constitutional issue with taxation in return for public services.

Exactly right. The Swiss model is basically about as conservative as you can get among national healthcare systems, and if that option were taken away we’d inevitably end up with something more like France or Sweden or Canada. Which would be fine with me, but not so great for conservatives. In fact, it might be even worse than Ezra says: if the individual mandate were killed but the rest of the current healthcare bill stayed intact, the private insurance industry wouldn’t last out the decade. We’d have Medicare for All by the end of Obama’s second term.1

Of course, movement conservatives don’t believe any of this. They don’t believe in things like “adverse selection” because language like that comes from pointy headed liberal healthcare professors. (Though they might want to ask a few insurance company executives whether they believe in it.) And they don’t believe that national healthcare is inevitable because they’re convinced that our current Rube Goldberg system really does provide the best healthcare in the world and can continue forever without bankrupting us. Or something. I’m not really sure what they believe. I’m not sure they do either. But they sure know what they’re against.

1Hell, maybe we liberals should join in the challenge. Go ahead and pass healthcare reform with the individual mandate, get the mandate tossed out in court, and then wait for private health insurers to collapse. Sounds like a pretty good plan. Too bad the court challenge would never work.

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SIX TRUTHS

Reclaiming power from those who abuse it often starts with telling the truth. And in "This Is How Authoritarians Get Defeated," MoJo's Monika Bauerlein unpacks six truths to remember during the homestretch of an election where democracy, truth, and decency are on the line.

Truth #1: The chaos is the point.

Truth #2: Team Reality is bigger than it seems.

Truth #3: Facebook owns this.

Truth #4: When we go to work, we're in the fight.

Truth #5: It's about minority rule.

Truth #6: The only thing that can save us is…us.

Please take a moment to see how all these truths add up, because what happens in the weeks and months ahead will reverberate for at least a generation and we better be prepared.

And if you think journalism like Mother Jones'—that calls it like it is, that will never acquiesce to power, that looks where others don't—can help guide us through this historic, high-stakes moment, and you're able to right now, please help us reach our $350,000 goal by October 31 with a donation today. It's all hands on deck for democracy.

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