Why It’s Hard to Calculate the Cost of Single Payer in the United States

Lately there has been some back and forth in the states over the expected cost of single payer healthcare. There is a lot of disagreement over how much single payer will cost because single payer grants the state a monopoly over the healthcare system. This means that the state can dictate how much it is going to pay its doctors, its administrators, its nurses, its drug and equipment manufacturers, and so on. Because the state can dictate the cost of single payer, the true cost of the proposal depends on how much the particular people implementing the proposal intend to spend.

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Comparing Keynesian Neocorporatism and Market Socialism

There is a lot of fuzziness and misunderstanding about what the left is trying to do, economically. A while back, I discussed some of the things which distinguish postwar liberals–who remain committed to reforming capitalism–from democratic socialists, who seek to one day abolish capitalism outright. Today I want to get into a bit more detail and discuss more precisely how these economic models work. The case I want to make to you is that despite what you may hear, the postwar liberals and democratic socialists have more overlap in their proposals than either side realises.

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The American Two Party System is Actually Pretty Great

There are lots of folks who think that the answer to America’s woes are more political parties, and the way to get more political parties is to adopt electoral reforms which move America in the direction of continental European-style proportional representation. I used to like electoral reform once upon a time, but I have increasingly become convinced that this is not only never going to happen but it is actually a bad idea. Here’s why.

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If Deng Xiaoping could Capture China’s Communist Party, You Can Capture the Democratic Party

There is a part of the left which believes the Democratic Party is beyond hope. They think it’s too corrupt, too beholden to rich people and corporations, and that it’s a waste of time and energy to try to change it. Even in articles which express support for running progressive and democratic socialist candidates on the Democratic Party ballot line, concessions are routinely made to this faction. Jacobin recently ran an interview with Seth Ackerman, in which Ackerman advises the left to run candidates as Democrats, provided those candidates are beholden to outside activist groups. But even this piece is far too pessimistic about the prospects for penetrating the Democratic Party. Right at the start, it begins with a left-wing shibboleth–that the Democratic Party has a “conservatising force field” which necessarily assimilates into the borg all efforts to change it. This is really wrong and it’s shockingly easy to show why.

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The Left Should Commandeer Red State Democratic Parties

For decades now, the Democratic Party has been in the hands of people who don’t really care very much about ordinary people. More and more wealth and income has been transferred to the rich, regardless of which party has been in power.

Percentage Point Change in Top 1% Income Share US Presidents

Increasingly, the Democrats have attempted to win elections relying exclusively on the McGovern coalition–students, young urban professionals, and people of colour. They privilege issues of status discrimination, ignoring economic exploitation entirely. The American worker was abandoned by the Democratic Party. Without the Democratic Party, American politics stopped being an arena for ensuring that our economic needs are met. Instead, the entire political debate became about the culture war, about social conservatism’s battle with social liberalism. The Republican Party pledged to protect the traditions and beliefs of those living in rural and suburban areas, and came to dominate them. The Democratic Party settled for the college towns and big cities. What we now call the “red states” are those states where the rural and suburban areas have more sway than the liberal cities. The Democratic Party in these states is a rotting corpse. It is ready and waiting to be transformed by a new generation of left-wing Americans.

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