A President needs political understanding
to run the government, but he may be elected without it.
S. Truman (1884-1972), Memoirs, Volume II,
Of Trial and Hope
My E-book, Understanding ObamaCare: Travails of
Implementation, Notes of a Health Reform Watcher, will be out in January.
It is not so
much about understanding ObamaCare, but about Obama and his health law understanding America and
its general and healthcare culture.
We are not
necessarily in this all together collectively.
We are in this separately as individuals as well.
individuals we rely upon one another, but we rely on ourselves as well.
We expect to earn our own keep, to make our
own choices, to be self-reliant, to cherish common values that got us where we
are as a nation, to elevate ourselves to the level
of our talents, to realize our ambitions, to pay out of pocket for what we want,
and to help each other when in need.
We are in
this to enjoy our individual freedoms, to lead our lives as we see fit, to follow our own North Start, rather than to
be under national surveillance or marching orders.
We are a
diverse, pluralistic people, and we expect to be treated as such.
Our medical system is diverse not uniform,
and its caregivers and receivers are heterogeneous not homogeneous. One size does not fit all.
We cannot be standardized.
Patients and doctors move to different
drummers, and each is perfectly capable of making medically intelligent decisions.
We are an
independent. not a dependent people.
We do not
like to watched or be lectured to about what we can and cannot do. We do not like too many rules and regulations.
We are entrepreneurial and enterprising.
We like elbow and head room to rise above the common
Given that room, we believe one
person raises the other up – to a higher level of personal, public, and
We are a
people of genius – a land where Steve Jobs, Bill Gates, Warren Buffett, and Oprah
Winfrey can rise to the top of wealth, power, and influence.
We are a
free-wheeling democracy, not a sclerotic welfare state.
We believe people should be able to speak
their minds without being labeled as extremists or as politically incorrect.
people should be able to pick their own doctors and their own health plans, or
no health plan at all, and take their own medicine, even if that medicine is
ineffective and does not meet federal standards.
in specialized excellence and well as generalized compassion - in being the best and getting the best.
We are a
bottom-up. not a top-down society. Every region of the country and every state makes its own choices of what it wants and what is best for its fellow citizens, what institutions if supports, and what its people need..
We believe in
actions, not words, in results, no rhetoric, in excellence, not in control.
These days Americans are not fond of the word "mandate," perhaps because it rhymes with "dictate" and perhaps because we are increasingly distrustful of Big Government.
Understanding Obamacare begins with understanding American culture
and what it stands for.
Post a Comment