So What if it was the States that Centralized Health Care?

By
Russell Arben Fox
-
5

Adding to the many discussions thus far here at FPR about the ongoing health care debate, an open question, especially directed to Messrs Stegall, Medaille, and Iliff:

How should a distributist or localist or communitarian in America feel about proposals which would attempt to provide the same sort of equalization which Democratic party reformers are squawking about, but do so solely on a state-by-state (or perhaps region-by-region) basis?

Just more of the same? No different from any other kind of centralization? Or different in degree, but not in kind? I’m not trying to make a snark; I’m honestly curious to know. Have at me, if you please.

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Russell Arben Fox
https://inmedias.blogspot.com/
Russell Arben Fox is a Front Porch Republic Contributing Editor. He grew up milking cows and baling hay in Spokane Valley, WA, but now lives in Wichita, KS, where he runs the History & Politics and the Honors programs at Friends University, a small Christian liberal arts college. He aspires to write a book about the theory and practice of democracy, community, and environmental sustainability in small to mid-sized cities, like the one he has made his and his family's home; his scribblings pertaining to that and related subjects are collected at the Substack "Wichita and the Mittelpolitan." He also blogs--irregularly and usually at too-great a length--more broadly about politics, philosophy, religion, socialism, bicycling, books, farming, pop music, and whatever else strikes his fancy, at "In Medias Res."
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5 COMMENTS

  1. Local and regional is better than national, so long as each locality gets to issue its own standards. The advantage of a guild is that it tends to limit its own size, to prevent dilution of ownership if for no other reason. Even a giant cooperative like Mondragon is actually a collection of some 200+ cooperatives, each with the unilateral right of secession. Vermont, eat your heart out.

  2. My concern for what otherwise seems like a good idea is that we already have significant inequalities state to state in per capita income, funding for schools, education attainment rates, divorce rates, rates of single parenthood, and rates of “unwed” mothers etc.
    Regretably, these tend to cluster together, low spending on education clusters with low educational attainment rates, higher high school drop out rates, more single parents, more divorce, and – more lacking health insurance. Obviously, states or regions with less of a income base will spend less. This could create a situation where while everyone might get health insurance – the quality and services covered would be less in the low income states and better in the more affluent states, creating yet another regional inequality.

  3. Cecelia,

    “My concern for what otherwise seems like a good idea is that we already have significant inequalities state to state in per capita income”

    So?

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