In the hymn for the dead for the Catholic Mass, the text of “Dies Irae” starts, “The day of wrath, that day will dissolve the world in ashes.” For Obamacare, this is that day, and it could portend a future in which the mighty ambitions of the welfare-state shrivel and die.
Think of how Obamacare was supposed to be the domestic apotheosis of the whole of the Obama presidency. It was passed at the end of term one, and – just to be safe – it waited to be implemented in term two.
It was the culmination of a decade, or really several, of expert opinion on how the national health care industry would be designed. The academics, the opinion makers, the top industry reps all met in endless meetings, hammering out all the details with the D.C. masters of legislation. The power of state would make all things right.
At last, there would be fairness and equality. Justice and efficiency too! All the good things about the American system would persist, only it would be much better. There would be falling premiums because the risk would be distributed. Competition would be managed and not chaotic. And all things would be covered for everyone. No one would slip through the cracks.
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