The administration has been conflating health care and health insurance for so long that most people, or at least most people who get TV cameras shoved into their faces, actually believe that the two products are one and the same. So questions like this go unanswered:
[E]levating “being insured” to some kind of holy, sanctified, sought-after-at-any-cost status ignores ways of dealing with things that, nevertheless, don’t qualify as “insurance” on technical grounds. We are constantly told that people who “weren’t insured” would use the ER and Medicaid and whatnot. But now they will “have insurance,” so that’s better. But wait: why is that better? For whom? By what standard? No explanation is proffered. Who needs one? “Being insured” is good and “not being insured” bad, period, say all the Smart People. And nevermind the fact that (in a sense) all those people were “insured,” it just wasn’t by an insurance company, it was by taxpayers-and-whoever.
But I went too far with that “at-any-cost” part, didn’t I? Cost is not even mentioned in the first place. As far as I can tell, I’m supposed to think that increasing the percentage of people who “are insured” (whatever that means) by one basis point is worth spending X dollars — for any value of X whatsoever. The ledger of this retarded debate, as conducted by (retarded) Smart People, has only one side to it.
But there’s one serious problem with these Smart People:
You build a movement by increasing buy-in, and “all smart people agree we’re right” is great for that. To acknowledge contrary evidence — any evidence at all — is to tacitly admit that one isn’t as smart as one claims to be. And who here, in this glorious year 2014, is going to admit that?
Which is why I’ve been arguing for some time now that Republicans need to start arguing, not that liberals are wrong (though, of course, they are), but simply immature… I might not always get it right, but I’m far, far likelier not to get it disastrously wrong. The whiz kid can run circles around me, cerebrally, but there’s no substitute for decades of real-world experience. And it is a truth universally acknowledged, at least by anyone who has ever been around teenagers, that the smartest kids make the dumbest mistakes, because they overlook the most obvious points.
William F. Buckley, Jr. had similar reservations about Smart People:
I am obliged to confess I should sooner live in a society governed by the first two thousand names in the Boston telephone directory than in a society governed by the two thousand faculty members of Harvard University.
Buckley wasn’t always prescient, but he nailed this one cold.