Why Single Payer Works Better at the National Level than the State Level

There’s a single payer plan advancing in the state of California, and many people are excited about it. And for good reason–a single payer system can potentially extend coverage while cutting costs. I’ve written about the virtues of single payer many times before, but there is a political danger in attempting to do single payer at the state level. Ironically and tragically, the very economic forces which make single payer such a good federal policy create powerful dangers for state systems.

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The Paris Climate Agreement’s Failure Was Structurally Inevitable

President Trump has pulled the United States out of the Paris Climate Agreement:

Unfortunately, the Paris Agreement was poorly designed from the start and never really had a chance of meaningfully addressing climate change. Trump’s decision today was produced and facilitated by these weaknesses.

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Mike Pence Really Could Be Worse Than Trump

As the talk of impeaching President Trump has ramped up, a lot of people seem to be really excited by the prospect of his removal. I’m afraid I can’t share the enthusiasm. Why? I’m a Hoosier–I grew up in Indiana, the state Vice President Pence governed from 2013 to 2017. My parents still live there. Every year I come back from grad school in the summers and over the holidays to reconnect with my roots, and even when I’m faraway I make a point to stay up to date on the happenings in my state. This means that for the last four years I’ve had a pretty detailed look at Pence. Most Americans seem to view him as some kind of serious, responsible, adult Republican. This understanding is grounded in the way Pence has presented himself on the national stage–as this taciturn, businesslike bridge between the different Republican factions. Pence has done an impressive marketing job getting people to view him this way, because when he’s in power it’s a very different story. Let me tell you some Mike Pence tales.

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Trussiagate is a Neo-McCarthyite Distraction

During President Trump’s first few months in office, media coverage has tended to vacillate between covering Trump’s substantive political agenda–his Supreme Court nominee, his healthcare reform, his budget, etc.–and the alleged connection between members of the Trump administration and the Russian government. Trump opponents had a politically great news cycle last week about the Republican healthcare bill. Jimmy Kimmel offered some brilliant pathos about ensuring that all families have access to healthcare, and House Republicans made it clear that they don’t share his priority by passing a healthcare bill which has been projected by the CBO to deny coverage to 24 million Americans, many of whom are poor and working people who voted for Trump. This is a moment of profound contrast in moral and political values and it’s a brilliant opportunity to expose the con that was Trump’s promise of universal healthcare, a con underlined by the subsequent praise he offered to the Australian healthcare system when that system looks nothing like the bill he’s championed in the House. But instead of staying with this issue, the press and the commentariat have quickly jumped back over to the Trump/Russia scandal (let’s call it “Trussiagate”) in response to the firing of FBI Director James Comey. A lot of people get excited about this scandal’s political potential because they’d like to use it to someday impeach Trump. But it’s not nearly as politically useful as it appears to be, and it’s dumbing down our foreign policy debate.

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Trumpcare Probably Won’t Get Past the Senate

Today a new, more conservative version of Trumpcare passed in the House, by a vote of 217-213. All the Democrats voted against it, with 20 Republican members defecting to join them. This might be concerning for some, but the changes the Republicans made to get the bill through the House will make it even harder for them to get a bloc of moderate Republican senators to cooperate with them.

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