Catherine Rampell devotes her Washington Post column to arguing that Sen. Sanders’s health care reform plan is an exercise in signalling how virtuous he and anyone who supports his plan are:
Given Americans’ allergy to higher taxes, it’s not enough to dismiss fiscal concerns by assuming Americans will gladly give Uncle Sam the money they currently earmark for a private health insurance system.
On this and other major questions, the Sanders plan punts. Anyone who asks such questions, or raises an eyebrow at the lowball estimates cooked up by the Sanders camp, gets branded a wet blanket, a heartless technocrat, a corporate shill or worse.
The goal should be universal health care, however we get there. And we’re much likelier to get there if we start from a baseline of reality than if both parties hand-wave away inconvenient truths. There is no courage in saying everyone should have health care. The courage is in staking out a plan to pay for it.
One way of beginning that process is by defining what is meant by “universal health care”. What is “universal”? Everyone? Every citizen? Everyone in the country legally? If your answer is “citizens”, you’ve already discounted nearly 15% of the people in California, the most populous state in the Union and, consequently, the most influential.
What is meant by “health care”? Everything that patients may want? Everything they need? Who decides what they need?
Some market basket of defined care? Who decides what goes into the basket?
These are hard questions. Handwaving is ever so much easier than answering them.