Tuesday, June 2, 2020

LET THE DEBATE BEGIN: HOW MUCH ‘‘SOCIALISM’’ IN AMERICA?


Some conservatives have complained
about the measures Congress enacted aimed at helping Americans get through the coronavirus dislocation. They label the measures “socialist,” “un-American”,
and at odds with
capitalism.  They say
we must get business as usual going or risk having these adjustments become permanent.


The country faces questions about the
appropriate level of government involvement in the economy and other aspects of life. Cries of “socialism” are not new when the government tries helping non-corporate middle America and the poor.
The
1936 Republican presidential nominee, Kansas Governor Alf Landon, attacked Social  Security as “socialism” (Franklin Roosevelt won the Electoral College, 523-8).

New York Governor Al Smith, the 1928 Democratic presidential nominee, wrote that year, “The cry of socialism has been patented by the powerful interests that desire to put a damper on progressive legislation. Is this cry of socialism anything new?... I have heard it raised by reactionary elements and the Republican Party … for over a quarter-century.”   

Many Americans who never thought
they’d seek or accept government assistance found themselves doing just that under the unprecedented circumstances the pandemic wrought. The pandemic exposed flaws in our healthcare and food supply systems. What happens when the
pandemic
ends? Is the kind of government assistance provided in connection with the pandemic an outlier or are significant policy changes on the horizon?

Will the nation remedy these weaknesses in our health care system
with new measures addressing some of the systemic shortcomings that made the coronavirus situation worse? Or, will the “socialism” objections prevail and keep the status quo in place?

Harry Truman’s 1945 health care
proposal was defeated in large measure by the American Medical Association’s labeling of the legislation as “socialized medicine.”  Things have changed. A recent Reuters/Ipsos poll showed over 70 percent of respondents favoring universal health care.

That Old Definitional Issue
When opponents leveled charges that Franklin Roosevelt’s New Deal programs
were “socialism,” he said in his 1936 State of the Union Address that the proper role of government was “the adjustment of burdens, the help of the needy, and the protection of the people’s property.”

This year, Democratic presidential candidates Bernie Sanders and Elizabeth Warren presented safety net programs aimed at assuring more Americans better access to health care,
child care, and other services. They proposed Medicare-for-All, a federal guarantee of health insurance mandated for everyone that would replace private health insurance. Other candidates, including presumptive Democratic nominee Joe Biden, also proposed expanded health insurance plans, though not Medicare-for-All.

In light of the virus experience, must we adopt measures that seem like “socialism?” The pandemic exposed three particular shortcomings in the health care system. First, many Americans don’t have insurance
coverage, meaning they couldn’t get adequate treatment if infected. Second, the lack of health care puts some groups at greater risk. Louisiana, for example, became an
early coronavirus “hot spot” because so many of its low-income citizens, most of the people of color, had limited access to health care before the virus hit. They suffered from medical conditions – hypertension, diabetes, obesity - that made death more likely upon contracting the virus. Finally,
health care workers faced massive shortages of equipment and supplies.

Theodore Roosevelt, the 26th president, responding to charges he was a capitalism obstructionist and opponent of individualism, wrote, “Ruin faces us ... if we permit ourselves to be misled into refusing to exert the common power of the community where only collectively action can do what individualism has left undone or can remedy the wrongs done by an unrestricted and ill-regulated individualism.”

What Will Americans Accept? What do they Want?
Post pandemic life in America probably will look different than life before March
2020.  Until we get a coronavirus vaccine, limits on large gatherings and close personal contact will likely remain necessary. Many won’t like that (sports fans?), but they’ll probably accept it in exchange for re-starting the economy. But what about political changes?  How much government will Americans accept or desire?

Democrats flipped the House of Representatives in 2018, relying on health care as a way of attracting suburban women and people of color. The pandemic assures the push for improved health coverage will play a central role in the 2020 campaign and in the next session of Congress. Once the emergency ends, will Republican resistance to expanded health insurance fade? We don’t know.
Many Democrats will seek a larger
federal investment in the health care system. That means lots of money for assembling and maintaining government stockpiles of medical equipment. Will anybody suggest rolling back the Trump tax cuts for financing such investment? Is doing such a thing “socialism?” 
What about unemployment insurance?  That’s mostly funded by taxes on employers. In light of the record number of unemployment claims, will
political and business leaders agree on a different way of funding that system? Would using general revenue and assessing higher taxes for that purpose make sense? Debating the issue seems reasonable now.

The Most Vulnerable
Many of these questions center on what America does about issues faced for the first time by middle-class people. How much “socialism” will they accept or want? That’s a political question on
which the spotlight will fall in the months ahead. Another issue, however, lurks beneath the surface. America has a population for whom the issues raised by the pandemic were not new. They live with them every day and have for a long time.

For this group, health insurance often doesn’t exist. Visits to doctors don’t happen except in the direst emergencies. Trips to food banks occur regularly, something middle-class people recently experienced for the first time. These most at-risk Americans need a voice in the political debate about “socialism.” Over the next few months, in this space, we intend to give it to them.      

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