6 years since Obamacare was signed into law.

It's almost been 6 years since Obamacare was signed into law, and we're now seeing the problems in the law.  Democrats rightfully say that more people are covered by health insurance, while Republicans rightfully say that there are fewer choices in medical care. What is the objective truth?

To look at this law objectively, one has to look through the lens of American politics, and what happens when the political system periodically breaks down in this country. The other day Rachel Maddow talked about an interesting phenomena on her show. It had to do about "Nativism" and when it pops up in our society.  Nativism, as I like to describe it, relates to a frustration held by native born citizens related to their place in society (and in the economy), a tendency to blame their problems on the foreign born, and a remedy to stop (or reverse) immigration by unwanted foreigners. 

When Nativism first became important, it was in the guise of the "no nothing" movement. Our political system was breaking down over the festering issue of slavery, there was political paralysis caused by the Northern and Southern states refusing to work together to govern effectively. In the end, the Whig party died, the GOP was born, and we had a brutal civil war before we had a government that could govern again.

We are again seeing the signs of our political system breaking down.  Donald Trump is only a symptom of a much larger problem. 

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America is again at a crossroads.  Every so often, its politicians tend to become so opposed to each other, that the normal business of government doesn't get done.  We have a Supreme Court nomination that the GOP controlled Senate refuses to act upon, simply because it wants to deny the current Democratic president any ability to make constitutionally mandated decisions that may affect the balance of power for years to come. They falsely claim that a lame duck president has no right nominate a person for a Supreme Court opening, stating that the next president should be the one making the nomination. Tribal loyalty is trumping (no pun intended here) duty to the nation. And we all suffer for it.

As a nation we have serious problems that are not being addressed.  We have refused to act on rationalizing America's immigration policy for years, effectively encouraging a "catch and release" policy for illegal immigrants.  Many people believe that the big problem is Mexican immigration to the USA, when the reality is that Mexicans are going home because of opportunities opening up there.  We have people who want "forever wars", and a Military-Industrial complex which is all too eager to oblige them.  We warehouse many of our poor in prisons, locked away for trumped up charges, all in the name of keeping our nation safe from crime.  (We'd be better off legalizing hard drugs, and taking away the reasons people commit crimes to buy these substances, and imitate Portugal in this area.)  We still have not been able to cover 100% of Americans in a medical insurance program, in part because of political bickering, in part because of big pharma having prevented some of the meaningful reforms that would allow medical insurance to be profitable for both the customer and the corporate entity providing it, and in part because because we do not have a "Public Option" ("Medicare for All", as Bernie Sanders would call it) where private industry can't afford to provide care.  Our political class is paralyzed, and the people are revolting at the polls.

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This situation has happened in other countries, and we've seen the disasters. To me, the most notable disaster was the fall of Weimar Germany and the ascent of Hitler and the "Thousand Year Reich".  We all know what happened there. Europe's economies were destroyed for at least a generation, and many of the continent's scars are visible to this day. Yet, Nativism still flourishes there, with far right parties trying to throw the immigrants out. And I can't blame the Nativists, because many of these immigrants have not assimilated into European society, many still live in cultural ghettos, and many cause problems by trying to bring the failed social values of their old homelands to the new.

The Nativists are just as much of the problem as are the unassimilated immigrants. Neither has adapted to change.  In many ways, both cling to a past which has not served them well, and has left them unprepared for the future.  It's sad, as neither group realizes that the past is the problem and not the solution.  In both the US and in Europe, Nativists resent immigrants who they feel are stealing their jobs. In reality, they are doing the kinds of work that the native born consider beneath themselves to do.  To make things worse, the jobs that many of the Nativists once did are no longer available.  Both Britain and the US have reduced their needs for coal, but no one has provided for the displaced workers. They have good reason to feel angry.  Immigrants are also part of the problem, as they bring ways of life which are incompatible with life in the new countries.  Muslim immigrants are often shocked that Western countries do not, and will not accept Sharia law in their midst.  The native born Christians in these lands rightfully see this as a problem, as it could lead to an all out war between them, and a growing Muslim population.

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The future is not as bleak as one might think. Mexican immigrants have assimilated more easily into American society the further away they are from Mexico.  In the lands which once were part of Mexico, they have tended to maintain a stronger cultural identity, and pose an interesting problem for America.  How do we insure their primary loyalty is to America? Most Muslim immigrants do not want any part of Sharia law, nor do they want the customs of their homelands.  They see the problems in places such as Egypt, where the government has no value to the common person.  They also see that government in the USA has a rightful place in public life, and is much of an asset here, as much as it was a liability in the lands from which they came. And in virtually all cases, it is education that has made the difference.

It's hard to learn to think critically without a good education.  And many of Obamacare's greatest opponents come from the masses who have not been educated well.  They do not see the law as an important first step towards an effective health care system for Americans, as they have not been taught civics in our schools.  They do not know how the government functions, nor do they know how to achieve their goals using the powers reserved for the people.  Instead, they look for a strong leader to deliver them from the mess that they, themselves have made. The masses have caused their own problems, because they, themselves have delegated their thinking to others.

Luckily, we still have a critical mass of Americans who have been well educated, and they still outnumber the "unwashed masses".  Hopefully, these people will stop the "unwashed masses" from electing a bombastic demagogue as a strongman leader, and instead, force the two parties to work together again and govern.  I still have hope for America, as the structure of the government handed to us by the Founding Fathers is still resilient enough to deal with today's problems.  They saw the objective truth, and it wasn't pretty then.  And our objective truth is just as ugly today as it was then.  So I have faith that what was given to us by Hamilton, Franklin, Jefferson, Adams and others is strong enough to weather the likes of Trump or Clinton....











https://www.morningstar.com/news/Market-watch/TDJNMW_20160831501/update-how-gilead-broke-obamacare.html


http://www.politico.com/story/2016/07/obamacare-prescription-drugs-pharma-225444

http://www.forbes.com/sites/scottgottlieb/2015/01/08/what-a-drug-price-debate-reveals-about-obamacare/#6eed2d1578c2

The more things change, the more they stay the same - in the South

Years ago, scenes such as this were common through the states that rebelled against the Union in 1861. Although Slavery was eliminated by 1865, the South created "Jim Crow" and "Separate but Equal" as tools to keep Blacks disenfranchised. Making Blacks use separate facilities (if they existed) for basic needs (such as getting a drink of ice water, as in the photo above) was a way of telling Blacks that they were valued little more than cattle on the farm. Today, these signs are long gone. Yet, the South (with other conservative states) are creating a new class of third class citizen by use of laws that discriminate against a very small number of people - Transgenders. 

It shocked America when the former George Jorgensen came back to the United States in 1951 as Christine Jorgensen. She was looked on as a form of oddity then, as there were only a handful of people who had undergone a sex change operation. Even Louis Farrakhan (in his pre-Muslim Brotherhood days) wrote a song about her - "Is she is, or is she ain't?" Yet, I can't recall anyone trying to deny her the rights to go about as a woman in society. (I can't say whether she had an amended birth certificate or other ID that identified her as female, but she was treated as such by most people she met.)

However things have changed. We now know that transgenders are at least 1/3000th of our nation's population, and maybe more. And as more and more transgenders decide to live in the gender other than that assigned at birth, we're seeing conservative elements in society attempting to bring back obstacles that are intended to let transgenders know that they are considered not worthy of having basic rights.

The author of this blog entry (Wingnuts and the political machine) notes that the bigots are attacking basic human needs, such as the right of the transgenders to go to the bathroom. Since it doesn't make sense to provide separate facilities (there is no "Separate but Equal" requirement for transgenders) for such a small population, the laws that ban transgenders from using appropriate bathrooms mean that there is no place for these people to go.

Why does the sight of a transgender person worry a certain class of conservatives so much? I think that the idea of transgenders provide a proof that the gender binary that has been indoctrinated into some people since childhood is at risk. And they would rather destroy any facts that challenge their understanding of the world.  Could you imagine what these people would feel if they were to see one permanent exhibit at NYC's Museum of Sex? The exhibit I note has examples of animals which change their sex, animals which have both male and female sex organs, and animals that do not reproduce sexually. This certainly does not agree with the biblical account of creation.

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You'll notice that I started with an issue that affects a small percentage of the population. But it gets worse from there. America is a nation of immigrants. Yet, narrow minded people are "suggesting" that people change their names when they come to America to reduce the effort that the "natives" need to expend to learn their new neighbors' names. 

Time and time again, I see postings trying to stir up hatred of Islam from some of my more conservative friends. There is legitimate fear of extremists - these friends see evidence of what happens when radical Islamists get control of countries, and they are right to be worried. But they don't see that their imposition of a fundamentalist form of Christianity is almost as bad as what they fear. Yet, they do make some good points, when they note how the imposition of fundamentalist Islam has affected several countries.

 Iran - Before and After

 Egypt - Before and After

And this problem even infects a "Christian" country when a large number of fundamentalist Muslims immigrate there.....

The Netherlands -

Before and After

What I find interesting is that Christian fundamentalists who fear change can be just as extreme as Muslim fundamentalists. Both believe in forcing others to live their way - even if it means destroying anything which challenges their world view. And in the United States, it is our South that tends to put the most social restrictions on individual liberty. 

I hope that over time, it will become impossible to hold people down using religion and god as excuses to justify mistreatment of individuals. To see this day, forward thinking people will need to gain control of the media and broadcast their messages louder and more often than the opposition. As long as backward thinking people control the messages heard by the general public, we have a great risk of moving backward - as illustrated by the above pictures of Iran, Egypt and The Netherlands.  It will mean that we protect people that we don't really understand, such as Transgenders. But by protecting small minorities first, we prevent the back sliding that would put larger groups (such as Blacks) at greater risk....