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That’s exactly how the USA was originally designed to work, and how it originally worked up until early-to-mid 20th century. It was only then when a bunch of po
by xyzzyz 5y ago
That’s exactly how the USA was originally designed to work, and how it originally worked up until early-to-mid 20th century. It was only then when a bunch of power grabbing politicians, along with a bunch of complicit elements in the judicial apparatus, have twisted the US into completely different system that we now get to suffer from.
- renewiltord 5y agoIt’s not just power-grabbing politicians. It’s what the populace desires. Look at the overwhelming support for something like universal health care. That is a massive expansion of federal power. A large number of Americans desire massive federal power.
- beerandt 5y agoDon't conflate the desired political goal with the political source. There's no reason states couldn't implement it if they wanted to. And some did. Which is part of why it's such a power grab. The "universal" part of it goes against the entire concept of tiered / federated / rupublic type of government. It's dogmatic. Politics has become religion, especially to the non-religous, and most don't realize it. "Catholic" means "universal". We can't allow States to have their own laws, when they might not align with the Truth. Praise Science!
- xyzzyz 5y agoYou could easily implement universal healthcare on a state-by-state basis. This is just another excuse for federalization by power-grabbers.
- dlp211 5y agoAt great cost, yes you could. This is one of the reasons everything costs so much in America, because we insist on making 50 independent systems.
- xyzzyz 5y agoThen why healthcare isn't greatly expensive in Europe, with, you know, 40+ independent countries?
- dlp211 5y agoBecause you pay your taxes to the central entity that is running those programs. In the US, the majority of taxes go to the Federal gov't, not the states.
- xyzzyz 5y agoThe federal government should then stop levying those taxes, so that states could then collect more and run their own programs. The federal Medicare tax is already so high that the federal healthcare spending per capita is already exceeding healthcare spending per capita in almost all European countries, yet Medicare/Medicaid only cover a fraction of the population. Seriously, with the same amount of money (in per capita terms) that US government already spends on healthcare, UK or France are able to provide universal coverage. If the federal government is too inept to do the same, it should give up trying, and instead make space for states to do that instead. Most European countries are of the size of US states. If they can run their healthcare just fine, it only makes it dumber idea to try to centralize it in US at the federal level.
- bhupy 5y agoIn Canada, the single payer healthcare system is Provincial, not Federal, and yet the income tax brackets at Canada's Federal level are roughly equal to those in the US (in fact are actually higher for some earners). If we wanted to take Canada's cue, there's plenty of room to increase State tax rates even if we did nothing about Federal taxation. Or we could take Switzerland's cue and totally flip the distribution, where Cantonal taxes far exceed Federal income tax.
- bhupy 5y ago> A large number of Americans desire massive federal power. It's complicated. A 2016 Gallup poll (https://news.gallup.com/poll/27286/government.aspx https://news.gallup.com/poll/27286/government.aspx) revealed that 55 percent of respondents preferred power to be concentrated in state governments; 37 percent preferred the federal government. Another group of surveys (https://www.cato.org/sites/cato.org/files/pubs/pdf/pa759_web.pdf https://www.cato.org/sites/cato.org/files/pubs/pdf/pa759_web...) shows that Americans strongly prefer state and local governments to lead on health insurance (62 percent, versus 38 percent preferring federal leadership), welfare (68/31 percent), unemployment (55/26 percent), education (75/25 percent), pre-kindergarten education (71/25 percent), transportation (78/22 percent), law enforcement (73/20 percent), job training (75/20 percent), housing (83/18 percent), and paving roads (77/9 percent). The problem with the universal health care polls is that 1) "universal healthcare" is such a broad term that can mean anything from NHS style single provider to Switzerland style universal privatized systems, and 2) it's entirely possible to favor a "universal healthcare" system that's administered and funded at the State level as opposed to the Federal level.