Random Thoughts on National Identity and Healthcare*

The importance of a national American identity cannot be forgotten. Such an idea has been put aside, relegated as an archaic remnant of the 1800’s. However, such an idea is critical to the mentality of the nation as a whole and is a reason why having a respectable president leading our nation is just as critical as having the credos to fulfill the requirements that the job requires of him. I have been grudgingly impressed by the impression that Trump has erected for himself, but his divisive words and policies will be problematic in attempts to recapitulate a unified America. The benefits of bringing together Americans with a better sense of national identity include a sense of resiliency and can-do attitude that will improve society’s self-concept.

The cost of healthcare will be insurmountable in the near future. At a cost of $6,500 per person, the prevailing attitude of the US currently is on an unsustainable track towards financial ruin. The Republicans’ arguments do have some merit. At this rate, the economic penalties of sustaining the Affordable Care Act will result in destabilization of our financial situation. I believe that increasing the efficiency of Marketplace will encourage better returns on investment from the perspective of government.

Unfortunately, the idea of smaller government is too closely aligned to Republican ideals. Focus on state autonomy and decision making is instrumental to reducing the high costs of healthcare. The worst case scenario imaginable involves retracting healthcare, specifically Medicaid to the homeless and low-income. These groups are the main beneficiaries of Medicare, in that they receive the most benefits from Medicare that they didn’t have before. The Democratic approach emphasizes the ideal that returning individuals to good health will overall benefit the economy, but research in economic supporting the idea can always be disputed.

Consequently, this is the underlying problem of the healthcare system. Of course, research is necessary to provide, sound, careful judgment of economic policy, but the differences in political perspective make our government officials increasingly intransigent. Moreover, now that we have individuals who are on health care for the first time, ideologically, it should be harder to move healthcare towards Republican effacing ideals. However, in practice, Trump has appeared to make many barbed attacks at Obamacare, but his lack of planning and foresight in these plans appears to be a obstacle in way of his ambitions to provide cheaper healthcare to more Americans.

At the individual level, the 31 states who have accepted the additional funding for supporting Obamacare have received a blank check for their healthcare systems. The idea that this will be a financially poor sounding decision for the federal government is a reasonable one. It doesn’t make sense that Californians are paying some of the lowest fees with Medicare to see their doctors, while taking a disproportionate amount out of the federal budget. The rise in costs in medicine may drive the government further and further into debt, leading to higher premiums and increased taxes down the road. Like the solutions to a recession, society sometimes has to suck-it-up and increase taxes to pull ourselves out of the deficit. This attitude, moreso than the fiscal demand on the American people, is a direct reflection of our nationalism. Our attitude towards our idea of the ideal American shapes our willingness to adhere to more stringent economic policy – especially in the face of adversity.

I think that improvement on Obamacare and a recurring attention to detail, coupled to common-sense reforms within government can change the way that America views Trump. The man has yet to prove himself in office, but as the man in the Oval Office, our job as healthcare workers, public health reformers, and future physicians is to make the best of what we have on hand. While this battle may be one of the last to fall to the generation before us, we must take up arms and prepare ourselves for uncertain times.

Your friend,


*written in one sitting – forgive the lack of a clear argument. 🙂


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