How Single Payer Healthcare Works and What’s Been Going on in Britain

Today I’d like to get at some of the deeper intricacies of single payer healthcare systems by telling you a story about what’s going on with Britain’s National Health Service (NHS). If you’re American, this post will shed some light on how Bernie Sanders’ system potentially works. If you’re British, this is where you’ll get my view on the junior doctors’ strike and what the conservatives are trying to do with the NHS.

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Democracy Discriminates Against the Young

Young people overwhelmingly support Bernie Sanders in this election, but many of them are not showing up. He crushed the demographic in Massachusetts, but still lost the state narrowly:

Young voters are just not keeping up with older folks:

This has been true for a long time–Millennials did not invent low youth voter turnout:

Many people see figures like this and their knee-jerk response is to scold young people for failing to show up, often attributing it to the laziness or lack of civic virtue of the current crop of young people. But as we see above, young people have been less active in politics since long before Millennials came on the scene. There are larger reasons why young people tend to feel disenfranchised by democratic politics–it’s because the system discriminates against them.

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What Really Happened on Super Tuesday

Unlike the British press, which openly acknowledges and parades its biases, many American news outlets like to maintain a pretense of objectivity. But this doesn’t mean that they’re objective, it just means that their biases are more insidious. Many media outlets clearly like Hillary Clinton and dislike Donald Trump, and these views have quietly colored their reporting on the presidential race. Last night Bernie Sanders won as many states as Donald Trump lost, but Clintonites will try to paint the democrats’ race as effectively over while anti-Trumpsters will look for excuses to say that the republicans’ race isn’t finished yet. These media narratives are used to give the press’ favorites “momentum”. If the public believes a race is over, it often is, regardless of whether or not the numbers really make it so. So by crowning a nominee (or refusing to crown one), media outlets exercise power to shape the races grounded in their biases. To understand what really happened last night, we have to look at whether candidates are meeting or exceeding their projected paths to their respective nominations.

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Why Anti-Racism and Feminism Aren’t as Popular as They Should Be

Our society has serious issues with race and gender. In the United States, there is a huge race gap in median family wealth:

The gender pay gap isn’t as bad as it used to be, but there’s still work to be done:

To varying degrees similar gaps persist in most other rich countries. There are also all sorts of additional non-economic disparities as a result of race and gender norms. People associate different behaviors and attitudes with different races and genders, often unintentionally as a result of internalized norms and learned habits. These race and gender norms and expectations box people in and limit their individuality. These norms are forms of arbitrary and unjust prejudice and stereotyping. These things seem obviously oppressive and objectionable in principle. Yet when we survey people about their attitudes toward the political movements that exist to oppose these systems of oppression, we find a remarkable amount of hostility. During the Ferguson protests, 53% of American adults believed that most of the protesters were just criminals taking advantage of the situation while only 31% believed the protests resulted from legitimate outrage over the conditions there. When asked to choose between “Black Lives Matter” and the counter-slogan “All Lives Matter”, Americans go with the latter by an 11% to 78% margin. Only 27% of Americans think new laws are needed to address racial discrimination:

Only 20% of Americans consider themselves feminists (including 23% of women and 16% of men). Despite this, 82% say that men and women should be “social, political, and economic equals”. Given that this is the goal of the feminist movement, this cognitive dissonance is troubling. Why are so many people who agree in principle with the goals of the anti-racism and feminist movements declining to support these movements? I have a theory.

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