Why Nations Succeed
Published: December 6, 2018
Josh Haner/The New York Times
Imagine if academics sat down with ordinary people like you and me and ironed out some real solutions to our health insurance crisis.
With the election season over, maybe you’ve forgotten about health insurance, but I certainly haven’t. It would be easy to forget that the problem even exists, when our headlines are constantly splashed with the violence in Libya, the authoritarian crackdown in Togo and the still-unstable democratic transition in Timor-Leste. But the health insurance problem is growing, and politicians are more divided than ever. Democrats seem to think that health insurance can just be ignored. Republican politicians like Rand Paul, on the other hand, seem to think that shrill rhetoric will substitute for a solution.
But the Republican party of Rand Paul is not the Republican party of Ronald Reagan. Reagan wouldn’t just filibuster, he'd break ranks with members of his own party because he'd understand that the fate of the country, and his own political career, depended on a lasting solution to the problem of health insurance.
It's good to see the talks between the president and congress getting off to a solid start, but we know there will be plenty of partisan fireworks before any deal is cut. If I had fifteen minutes to pitch my idea to politicians, I'd tell them two things about health insurance. First, there's no way around the issue unless we're prepared to spend more: and not just spend more, but spend smarter by investing in the kind of green energy that makes countries succeed. That's going to require some tax increases as well, but as they say, "Mo' money mo' problems."
Second, I'd tell them to look at Iceland, which all but solved its health insurance crisis over the past decade. When I visited Iceland in 1998, Kiki, the cabbie who drove me from the airport, couldn't stop telling me about how he had to take a third job because of the high cost of health insurance. I caught up with Kiki in Reykjavik last year. Thanks to Iceland's reformed approach toward health insurance, Kiki has enough money in his pocket to finally be able to afford tennis shoes for his kids.
That's all it takes. Don't expect to see any solutions as long as fringe bloggers insist on playing a high-stakes game of backgammon with one another. America has to rise above it all.