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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Bernie Sanders: What the Economists are Fighting About

Economists have gotten into a big fight with each other about the potential economic impacts of Bernie Sanders’ proposals. First Gerald Friedman came out with a new paper anticipating a tremendous improvement in economic performance under Sanders. Then four economists (Krueger, Goolsbee, Romer, and Tyson) affiliated with the Obama and Clinton administrations wrote a joint letter asserting that Friedman’s claims “cannot be supported by the economic evidence”. Paul Krugman subsequently took their side on his popular blog. Others have defended Friedman–Jamie Galbraith accuses the four of not having rigorously reviewed the paper, while Dean Baker claims that the New York Times is not giving Sanders’ side a platform and that there’s far more support among economists than we are being led to believe. In the popular press, this argument has rapidly devolved into a question of which authorities are more or less credible. I want to give you something better–a readable analysis of the actual arguments at stake here.

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Why Bernie Sanders is More Electable Than People Think

A few days ago, I wrote a popular post about the ideological differences between Bernie Sanders, the egalitarian committed to shrinking the financial sector and boosting consumption by raising wages, and Hillary Clinton, the neoliberal committed to protecting the interests of finance capital. I explained the history of the Democratic Party and how it came to be captured by neoliberalism–the same economic ideology espoused by Ronald Reagan and many of his successors in the Republican Party. Many people found that this clarified the differences between Bernie and Hillary for them. However some people expressed concern that even though they think Bernie’s ideology is more desirable, he may still nonetheless be unable to beat a republican in a general election. A republican victory would be awful for the left–even a neoliberal democrat is still noticeably to the left of a neoliberal republican, especially on issues like climate change or LGBT rights. However, I think there are good reasons to think that Bernie is at least as electable as Hillary, and possibly significantly more so.

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