You don’t have to be religious to enjoy the victory of the Little Sisters of the Poor yesterday, although it helps.
The media yesterday, in the UK and to an extent in the US, hugely downplayed Trump’s passage of an Obamacare replacement through Congress, even though there are still a few challenges ahead. The Guardian, as one example, bafflingly are using the picture on the right as their main US headline, at the time of me writing this. We know you don’t like him guys, but was that really the main news event?
Two things happened: the Obamacare replacement already mentioned, the lack of which was being gleefully touted until about two days ago by people who should know better, as an emblem of Trump’s abject failures. The second is Trump’s executive order on religious freedom, which led to the press conference which is shown below. As Trump said, and it’s hard to claim he’s wrong: “I will get rid of and totally destroy the Johnson amendment and allow our representatives of faith to speak freely and without fear of retribution”. (Read this for more background).
There were parts of Obamacare that were good in theory, although the victims of the private insurance/Medicare/Medicaid situation that preceded it were primarily the middle classes rather than the poor and indigent. It was the middle classes who didn’t qualify for state aid who were hammered financially. However, Obamacare was always a rotten business model, and that’s all it was. It wasn’t healthcare – that’s provided by clinicians – and it wasn’t even insurance, as there was not enough ‘this might not happen’ element to it, which is the essence of house, car, health, dog insurance, whatever. If the new bill includes adequate coverage for pre-existing conditions, it will be better. Obamacare had had it anyway, even before yesterday’s news.
Perhaps Obama should have been more open about it, and gone for a US NHS, funded from taxation. I’m a big fan of the NHS. I have worked in it for more than 30 years, I don’t do private work, but it is desperately in need of reform. It has suffered terribly from technological advances, in a financial sense – and they’re far from being all good clinically – but also from mission creep, much of it led by the dreaded Public Health cabal and various politicians after an easy boost. It is far from Nye Bevan’s original vision. In a very perceptive Standpoint article on all this, John Torode wrote:
…however much the rest of the world allegedly envied our brave new health service, not one nation of any significance turned envy into action. Pretty well every advanced liberal democracy, from Germany to Israel, from France to the Scandinavian nations, chose fundamentally different models of health provision…..some problems are common to all health services. We live longer and need more, and more expensive, attention for chronic conditions in our old age. Medical science and technology have grown ever more complex and costly. But our rigid, unresponsive, centralised system, designed by state-socialists and run by bureaucrats, serves neither patients nor practitioners. It merely exacerbates the difficulties.
A working Glasgow GP, Margaret McCartney, wrote a great piece on the very real problem, both ethical and financial, of modern healthcare pursuing life at all costs:
Death is inevitable, but frequently seen as an inadequacy in medicine or treatment. Harpal Kumar, the chief executive of Cancer Research UK, said on the radio recently that his aim was to ensure that no one died of cancer any more. But we are still going to die, so what are we to die of? Is every death to be fought back with all of medicine’s might, and to be always considered its failure?
Well worth reading it all, but I digress. Back to BO and the nuns, where it just so happens that healthcare was the field on which he chose to fight. I wrote a blog 5 years ago that predicted Obama’s demise on this. He picked on the wrong people, and he did it in a stupid and vindictive way. He may have won his two elections for reasons that are many and varied – not particularly about good governance though – but his signature legislation is now dead. I had a Ford Fiesta that lasted longer than Obamacare. And he completely deserves the humiliation that it brings. Even his buddies in the Washington Post were aghast:
Both radicalism and maliciousness are at work in Obama’s decision — an edict delivered with a sneer. It is the most transparently anti-Catholic maneuver by the federal government since the Blaine Amendment was proposed in 1875 — a measure designed to diminish public tolerance of Romanism, then regarded as foreign, authoritarian and illiberal. Modern liberalism has progressed to the point of adopting the attitudes and methods of 19th-century Republican nativists….Obama is claiming the executive authority to determine which missions of believers are religious and which are not — and then to aggressively regulate institutions the government declares to be secular. It is a view of religious liberty so narrow and privatized that it barely covers the space between a believer’s ears.
Hence the title of this post. Take it away Percy Bysshe Shelley…
The lone and level sands stretch far away.”
and that video. “Incredible nuns…”