How To Think About Obamacare

Andrew Sullivan —  Sep 27 2013 @ 11:07am

Jonathan Gruber, the mastermind behind Romneycare, provides his perspective:

The number of people covered by employer-based health-care plans is dropping by a percentage point a year. The system is falling apart. So you put in a new safety net. That means a few more people are going to come in. If you’re not willing to risk making some things worse, you’re never going to make anything better. My estimate is that 80 percent of the people are not going to feel any change at all, and that 17 percent or so are going to find that things are better, and that about two or three percent will be worse off, and those are the people who benefit from the discriminatory nature of health-insurance at the present time. If health-insurance companies can’t discriminate any more, those people will have to pay a little more. When we decided that people couldn’t discriminate in what they paid black people or women any more, people had to pay more because employers couldn’t discriminate in what they paid black people and women. Was that a bad thing?

The thing that staggers me about the Republican hatred of this law is its abstract quality. They never address the real problem of our massively inefficient private healthcare market, which is a huge burden on the economy. They never address how to help the millions of uninsured adults get the care all human beings need. They appear to regard a Heritage Foundation, free-market-designed, private healthcare exchange system as some kind of communist plot. They do not seem to believe there is any pressing problem at all. And they have nothing constructive to offer.

This is not about Obamacare. It is not even about politics. It is about a form of revolt against the very country they live in.