Don’t get me started on how it makes any sense that we don’t leverage the power of the government for something as crucial as life. Why in the god damn fuck is giving birth in this country not free?
The issue of why taxpayers won’t pay doctors to deliver children is orthogonal to the point I’m making. If taxpayers in California or New York want to do that, they should do it.
That ship sailed over the horizon a long time ago, like at the latest with the adoption of the 14th Amendment nearly 150 years ago. When you took the oath to become a lawyer, you didn't swear allegiance to whatever state you happened to be living in at the time. And sociologically, I'd venture that most U.S. citizens think of themselves as Americans, not as Marylanders or Texans (OK, granted, a lot of Texans think of themselves as Texans first, which isn't a good thing).
My New York bar oath says: "I do solemnly swear (or affirm) that I will support the constitution of the United States, and the constitution of the State of New York." You don't swear loyalty to the constitution of a mere administrative subdivision.
> And sociologically, I'd venture that most U.S. citizens think of themselves as Americans, not as Marylanders or Texans (OK, granted, a lot of Texans think of themselves as Texans first, which isn't a good thing).
I think that depends on the context of the question. If you ask people in the abstract, I agree most people identify as American first. But people have very well-developed affinities and prejudices about their states versus neighboring states that verge on nationalistic sentiment. Texans do, of course, which is something I find charming. But so do Oregonians. Having spent much of my adult life in Georgia, I can tell you exactly what I think about Floridians, Alabamans, South Carolinians, Mississippians, etc. (A lot of these sentiments play out through college football, the way they play out through soccer in Europe.) My wife, being a fifth generation Oregonian, would not move to California to save her life. Having relocated to Maryland, we have both cultivated an active dislike of Virginians (what the heck are they doing here, with their license plates?)
Note the order.
This is how it works in the EU as well, and per the GGP commenter, the prescription was for the US to be more like the EU, which is how it was set up in the first place anyway per the GP comment.
> Don’t get me started on how it makes any sense that we don’t leverage the power of the government for something as crucial as life. Why in the god damn fuck is giving birth in this country not free?
Except there are several different viable ways of providing universal healthcare. You can have a single payer system like Canada/Denmark/American Medicare, you can have a single provider system like the UK/Veterans Administration, you can have a purely private non-employer funded system like Switzerland or the Netherlands, you can have a public-private mix like Germany, or only universal catastrophic coverage like in Singapore. Each approach has its own trade-offs, and those trade-offs are political in nature, where some States might prefer one set of trade-offs and others may not.
This is exactly how Canada's single payer healthcare came about. Saskatchewan was the first Province to offer single payer in 1947, followed by Alberta in 1951, etc. By 1961, all Provinces had some form of a single payer healthcare system. To this day, Canada's single-payer system is Provincial, not Federal. The Federal government provides supplemental funding, but that only happened after each Province independently developed its own system, and only after all Provinces unanimously agreed to the Federal health transfer. As of 2020, Federal transfer payments in Canada only amount to 22% (https://www.cmaj.ca/content/192/45/E1408).
Because people get paid to do those jobs, and the government mandating that they do it for free, or for some reduced price is theft of labor. We've already fought that war.
Part of being a member state of the EU requires having access to some sort of public healthcare system: https://en.wikipedia.org/wiki/European_Health_Insurance_Card
This isn't "over reach of federal government" - it's ensuring that the citizens of anyone who wants to be part of a certain association have certain basic rights.
And the US Constitution requires that its member states have a republican (small r) form of government.
> Part of being a member state of the EU requires having access to some sort of public healthcare system
First of all, that's not even true; the only requirement is that the member states accept the European Health Insurance Card regardless of how the healthcare is financed (publicly or privately). The Netherlands, for instance, gets its healthcare primarily through private health insurance. An EU-like approach to healthcare in the US would be for the Federal government to establish a common standard that can apply across disparate health insurance systems that are implemented, funded, and administered by the States, but that's not really what the D party is selling (as far as I know).
https://en.wikipedia.org/wiki/United_States_Environmental_Pr... President Richard Nixon proposed the establishment of EPA on July 9, 1970
https://en.wikipedia.org/wiki/Affordable_Care_Act#Legislativ... The ACA was championed by republicans until it became a political talking piece.
The concept of an individual mandate goes back to at least 1989, when The Heritage Foundation, a conservative think-tank, proposed an individual mandate as an alternative to single-payer health care.[121][122] It was championed for a time by conservative economists and Republican senators as a market-based approach to healthcare reform on the basis of individual responsibility and avoidance of free rider problems. Specifically, because the 1986 Emergency Medical Treatment and Active Labor Act (EMTALA) requires any hospital participating in Medicare (nearly all do) to provide emergency care to anyone who needs it, the government often indirectly bore the cost of those without the ability to pay.[123][124][125]
https://en.wikipedia.org/wiki/No_Child_Left_Behind_Act NCLB was totally a Bush thing.
It was coauthored by Representatives John Boehner (R-OH), George Miller (D-CA), and Senators Ted Kennedy (D-MA) and Judd Gregg (R-NH). The United States House of Representatives passed the bill on December 13, 2001 (voting 381–41),[8] and the United States Senate passed it on December 18, 2001 (voting 87–10).[9] President Bush signed it into law on January 8, 2002.
This is similar to how people make out Iraq to be a republican war even though in enjoyed broad bipartisan support.
The facts you mentioned here are obvious. I didn't think they needed much spelling out for moderately educated Americans.
If the question is 'do republicans nationalize things'? The answer is... yes. All national politicians do.
I hate how we literally split everything, including bipartisan things up, into neat little democrat/republican boxes.
If it's via the Supreme Court, can you really blame "Democrats"?
The Supreme Court upheld gay marriage on the basis of equal rights to all. States can't pass laws that violate the US constitution.