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March 27, 2012

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By any objective measure, the current employer/market-based system is prohibitively expensive and often ineffective - and demonstratively getting worse. So, when people argue to keep it as is, I want to scream.

Once the Do-Nothing option is eliminated, one simply looks around the world viable options that proven to be more effective and more efficient. They are in abundance. So, choose one or synthesize two or more to come up with something better. Everything that is proven to be better requires centralization.

So why are not arguing how instead of when? And why are we not arguing how best to "centralize" rather than whether to continue with an approach that has proven to not work?

The answer is simply that rational arguments quickly run into political theology (government is bad). So, anything that leads one to "government is good" must be wrong and must be vanquished.

This takes me back to my original point: How can the status quo be defended?

I suggest that rather than letting the 2012 election become a referendum on Obamacare; it should be a referendum on the old system.

I'm afraid Mr Lipscomb that there is a fatal assumption to the logic of your argument and that is the assumption that there is any desire on the part of most politicians to find pragmatic solutions to real problems. Solving population wide problems is contraindicated when pleasing a subset of the population is both more rewarding politically in terms of electoral success and much easier to accomplish. I seriously doubt that many Republicans, for example, are trying to find a way to health care universality when that clearly is against the interests of their donors and other supporters. They simply do not want to pay for population wide health care when it means paying for other people to compete for the same resources that economic advantage reserves for them now.

Why must Brooks use an emotionally charged word like "centralizing" with its connotations of freedom denial rather than look at American history as a series of steps by which America gradually becomes a more perfect union as a nation takes shape in place of those small, narrow parochial elites that have power at the local level, and emancipate individuals in just the same way that the rise of the European state out of the ashes of feudalism led to greater liberties and opportunities for the masses?

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