Today Matt Miller squanders a perfectly good 800 word newspaper column with what can be summarized in a single sentence: people disagree about the PPACA. It’s in the form of an imaginary Crossfire program on the Social Security program, featuring Upton Sinclair, Frederick Hayek, Frances Perkins (FDR’s Secretary of Labor) and a Republican Congressman of whom I’ve never heard, Daniel Reed.
I strongly suspect that Mr. Miller didn’t bother looking up what Upton Sinclair actually wrote about Social Security. This is from the pamphlet he wrote when he was running for governor of California:
So far as concerns the EPIC system, let me add that when our workers on the land and in the factories are making comfort and plenty for themselves, we shall say to them: “It will be the part of wisdom for you to set aside a portion of your product, say 10% a year, to establish a fund for your care when you have reached old age, or in the event that you become ill or disabled. Being self-respecting Americans, you do not want to be dependent upon charity, whether of your relatives, or of the State, or of the Federal Government. You want to produce the wealth yourself, so that later on you can claim it as a right and enjoy it without humiliation.”
Clearly, times have changed. Similarly, Hayek does not appear to have opposed Social Security:
“In the Western world some provision for those threatened by the extremes of indigence or starvation due to circumstances beyond their control has long been accepted as a duty of the community.¹ The local arrangements which first supplied this need became inadequate when the growth of large cities and the increased mobility of men dissolved the old neighborhood ties, and (if the responsibility of the local authorities was not to produce obstacles to movement) these services had to be organized nationally and special agencies created to provide them.
and he applied for (and received) Social Security himself.
For Frances Perkins’s views on Social Security see here. I haven’t been able to locate a statement of Rep. Reed’s views but if this quote by Nicholas Kristof is accurate and representative he was against it.
However, let’s look at the actual question objectively. Is the PPACA more or less like Social Security? I believe it is not very similar to Social Security and, consequently, observations about similarities between the debates over Social Security and the debates about the PPACA are fatuous.
Consider:
- The PPACA was enacted into law without a single Republican vote. Social Security secured solid majorities of both political parties.
- The original Social Security Act of 1935 was under 70 pages long. The PPACA amounts to nearly 2,000 pages. The playwright and theatrical producer David Belasco once said “If you’ve got a clear idea, it can be put on the back of your business card.” The devisers of Social Security had a clear idea. Either the devisers of the PPACA did not or there’s a lot of extraneous stuff in it.
- Social Security has been popular since its inception. The PPACA has never been supported by a majority of the people.
- Most people expect to receive Social Security benefits. Most people do not expect to be insured under either the Medicaid expansion that’s part of the PPACA or the healthcare exchanges. I expect that the outside figure is about 5%.
The whole thing reminds me of Will Rogers’s famous wisecrack that the difference between death and taxes is that death doesn’t get worse when Congress is in session. When the Supreme Court found that the “individual mandate” of the PPACA was a tax, it reminded me of that wisecrack.
Update
It was pointed out in comments that as originally written Social Security covered far fewer than it does now. I also thought of some other differences:
- Social Security checks go directly to individuals. Under the PPACA checks either go to providers or to insurance carriers or underwriters.
- Social Security has inherent limits on the amount of payouts. There are no comparable limits on insurance payouts which means there’s no inherent cap on the cost of ObamaCare.
It was also pointed out that under the PPACA ex-pats would be required to pay without any possibility of receiving benefits. I don’t honestly know how accurate that is.