Crowdfunding As Socialized Healthcare

Charity, ostensibly a central moral and social American institution, is alive and flourishing–online, on crowdfunding sites, as thousands and thousands of perfect strangers and sometimes acquaintances and friends and family, line up to donate to the latest plea for help. (Perhaps someone needs a vital organ transplant, extended chemotherapy and radiation, or a new, life-saving alternative therapy; or perhaps, like most Americans, they went into a hospital hoping to emerge healthier, and instead, found themselves facing a foreclosure-inducing medical bill.) As Bloomberg reports in an article unironically titled ‘America’s Healthcare Crisis Is a Gold Mine For Crowdfunding–later changed to ‘American Health Care Tragedies Are Taking Over Crowdfunding’:

Crowdfunding platforms such as GoFundMe and YouCaring have turned sympathy for Americans drowning in medical expenses into a cottage industry….Business is already booming, and its leaders expect the rapid growth to continue no matter what happens on the Hill. “Whether it’s Obamacare or Trumpcare, the weight of health-care costs on consumers will only increase,” said Dan Saper, chief executive officer of YouCaring. “It will drive more people to try and figure out how to pay health-care needs, and crowdfunding is in its early days as a way to help those people.”

Indeed:

Growth has been rapid….one million campaigns set up over the previous year had raised $1 billion from nearly 12 million donors. By February 2016, the total was $2 billion. In October 2016, it was $3 billion, from 25 million donors….GoFundMe had indicated that $930 million of the $2 billion raised in the period the study analyzed was from medical campaigns….medical fundraisers made up 70 percent of GiveForward’s campaigns. The combined companies have 8 million donors who have contributed $800 million to a wide range of campaigns. A big part…was donated to medical campaigns…It was approaching 50 percent of all fundraisers at YouCaring before the acquisition, and the growth rate is set to triple this year.

Indeed, no matter what the flavor of the current healthcare system, it will not take care of most Americans, and neither will it do anything to drive down the rising costs of healthcare. Short of progressive taxation, a national single-payer system, and extensive structural reform to bring the American healthcare system into line with the ‘best practices’–both financial and clinical–of the best national healthcare systems in the world, Americans look destined to continue pay the highest rates for healthcare in the world, while receiving outcomes that can be described, at best, as ‘mediocre.’ In these conditions, the success of crowdfunding campaigns is entirely unexpected and unsurprising; ‘look to private resources’ is the fairly explicit message of the current healthcare system, and it is there that Americans have turned. ‘Private resources’ are normally taken to mean financial support from family; Americans seem to have found a much larger family of sorts; a blessing of a kind, one supposes.

But mostly, reactions to this state of affairs can hardly afford to be sanguine. Such methods of paying for healthcare costs suffer from too much contingency; some campaigns succeed, yet others fail. Perhaps your pitch was not ‘moving’ enough; perhaps you did not include the right pictures of cute families; perhaps potential donors were financially exhausted. The health of the citizens of any country, let alone one with pretensions to greatness, should not be riven by so much uncertainty, so much dependence on the unpredictable largesse of others.

Nation To Republican Party: Fool Me Twice, Shame On…Oh, Forget It.

Around the nation, there is much talk of Donald Trump firing the special prosecutor Robert Mueller, whose charge is the so-called ‘Russia investigation,’ and whose acquisitions of ‘top criminal lawyers’ has resulted in him putting together a prosecution ‘dream team.’  These are merely rumors for the time being–and strange rumors for liberals and progressives to be getting so excited about given that this is a nation which has generated a human rights crisis for itself through its mass incarceration policies–but speculation based on rumors is always quite delicious, so let me be a little self-indulgent. This firing is eagerly anticipated by, for instance, Rick Wilson and Adam Schiff, both of whom wrote and posted variants of what I will call the ‘bring-it-on rant.’ Please, Donnie, fire Mueller, because that act, and I really mean it this time, will bring about the impeachment we all so fervently desire, and if not, something even better will  happen: the American people will finally, and I mean it this time, finally, realize that we are a nation without laws, that the republic is dead, that the Republican Party is morally and intellectually bankrupt and so on.We haven’t gotten the memo yet, but once you fire Mueller, we will, and then we can get on with the business of rescuing and reconstructing and restructuring the American Republic.

There are camels and there are straws and there camel’s backs and last straws. Never has the meeting of the twain been so elusive in American politics.

Trump can fire Mueller, in broad daylight, on Fifth Avenue, and nothing would happen to him. Nothing, that is, from the folks that some Americans think should be doing something about it: Congressional and Senate Republicans. As Paul Starr makes clear, having a weakened President–and let there not be any doubt about it, Trump is a weakened President, incapable of asserting and securing power in the ways that the pros of old knew how to–is the best news possible for the Republican Party’s legislative agenda. Moving legislation along is the least such an enfeebled leader can do; prop me up, he says, and his minions comply, even as they press a quill into his hands and place an ink pot nearby, while they lick their fingers and turn over the pages, all the while pointing to the dotted lines to be initialed and signed.

We should remember that Ronald Reagan and Bill Clinton survived scandals that–in their time–were just as bad, just as ‘fatal’ to the presidency. Trump’s survival is all but guaranteed because he is a popular president among a vital, electorally crucial, demographic, and because by functioning as the dysfunctional, drunk, senile, grandparent, he can be propped up to provide cover to the real wrecking crew.

Moreover, let us not forget, the 2018 elections are in, er, 2018, which is a long ways away. Memories are short these days; the outrage over the Mueller firing, like all the other ‘this-is-gonna-sink-Trump-sure’ events, it will produce its ripples and then sink beneath the surface. The republic is politically unwell, and its malaise will not be healed by the mere removal of the most superficial pathology visible.

A Teachable Moment For The Republican Party

That famous Republican Party discipline (or, ideological commitment), the one that made sure that many of Barack Obama’s legislative priorities were derailed through relentless parliamentary grandstanding, that ensured the federal government’s operations were shut down, producing misery and inconvenience for many, that produced budgetary brinksmanship of the highest order and negatively affected the national debt rating, it also ensured a stinging defeat for the Donald Trump-Paul Ryan effort to repeal and replace the Affordable Care Act. The Freedom Caucus–that benign moniker which identifies a group of apparently sworn nihilists determined to gut government from the inside out–did not find the modified Republican replacement for ‘Obamacare’ sufficiently heartless; it healed too many, served too many; not even the prospect of doing damage to Paul Ryan’s risible and entirely concocted image as a policy wonk was enough to deter them from their opposition to the bill. (The Trump Administration’s attempts to placate this crew led in turn to so-called Republican ‘moderates’ to threaten to abandon ship; causal responsibility rests solely with the Freedom Caucus.)

Captain Trump and the USS Republican Party were headed for the shoals, and that’s where they ended up. Capitol Hill is not a campaign rally venue. There are old lessons here to be learned, apparently.  In writing of the various Athenian power struggles that preceded the Battle of Marathon against Persian forces (The First Clash: The Miraculous Greek Victory at Marathon, And Its Impact on Western Civilization, Bantam, New York, 2013, p. 80), Jim Lacey makes note of the struggles between the aristocrats Isagoras and Cleisthenes:

With Isagoras deposed, Cleisthenes and his supporters returned. Whatever his own predisposition, he now had to deliver on the promises he had made during his political struggles with Isagoras and the other noble families. He probably was also beginning to understand that it is easier for an adroit politician to manipulate the masses than it is to manage powerful competing factions.

It is small comfort for the American polity to realize that this bill failed because a Republican faction did not find it dastardly enough, because its primary architects were simply too incompetent to shepherd it through the legislative gauntlet. This same factionalization and incompetence could very well help produce a more radical version of another bill, which would gut comfort and safety elsewhere.

But there is another side to this story of Republican failure, which is that Republican representatives and senators chickened out of a ‘No’ vote because their constituents threatened them with electoral reprisals. They did so by calling in, by attending town halls, by sending postcards; in so doing, they proved, yet again, that old-fashioned citizen pressure on elected representatives works. Give the bastards hell, indeed. Elected Republicans are finding out–the hard way–that the President’s unpopularity is both deep and wide; it brings all the formerly somnolent members of the electorate to the yard; that loud presence has made the threat of disaster in 2018 more likely; and if there is anything that will help induce flight from His Orangeness’ apparently contagious success, it is the fear of contracting a fatal electoral disease.

Much damage could still be done to the Republic and its denizens; there are more bullets to be dodged; but also some lessons to be learned by those infected with hubris.

The Most Likely Fate Of The Trump Presidency

Should Americans be cheering as the Deep State brings down an American President? Expressed in abstract schema form, this question requires an answer considerably more nuanced than the simple ‘yes’ that results if asking ‘Should Americans be cheering as the Deep State brings down an American President as clownishly, offensively incompetent as Donald Trump? (Today’s rambling press conference was merely the latest in a series of incoherent public speaking performances.) Unelected string-pullers bringing down an elected representative of the people–even if one who jets off to a golfing resort every weekend–sounds like the stuff of dystopian nightmares. Cheer now if you will, and pay later when the Deep State happens to dislike a representative you do like. (My ‘yes’ clashes with the anguished ‘no’ that would emanate from the millions of Trumpistas still hoping their anointed Savior will, any moment now, stop bragging about his election and actually get down to some work.)

That things have come to this is an acute indication of just how far through the looking-glass our polity has gone; the national security apparatus–or at least, its intelligence component–is in open warfare with the executive branch, and it is not clear that this battle will end any time soon. If more dirt emerges on the President, including evidence of illegal activity–such as directing Michael Flynn’s contacts with Russian intelligence–this Presidency would be over. (As before, I do not think Trump will be impeached but I think he could be persuaded to resign by his legal advisers. Easier money, even if not as plentiful, will be waiting on the paranoid conservative talk show and lecture circuit; book deals and bestseller lists are all but guaranteed; our culture is truly degraded, and will make ample room for Trump even if he is exiled from the White House.)

There is another possibility, of course. Which is that the Republican Party, whose ability to plumb the depths is apparently still not clear to those who hope that an investigation will be launched into Trump’s malfeasance, will bring in an experienced operator–perhaps someone like James Baker–to calm the waters, negotiate a truce, and start running day-to-day affairs at the White House. The Republican Party will then have the best of all worlds: they will be able to keep a President in power, the loss of whose loyal ‘base’ cannot be afforded; they will be able to exert some control over policy and legislation; and they will be able to keep the most hostile components of the opposition to Trump at bay. I expect this to be the most likely outcome of the current ‘fubar‘ state of affairs. Such a development will certainly come as some disappointment to those of us who were settling down with the popcorn to see what further entertainment was coming down the pike, but I think most of the other President Pence possibilities that have been floated are extremely unlikely. The Republican Party’s bottom line has always been party above country, and all other outcomes put the country first.

The Republican Party And The Disavowal Of Donald Trump

In response to my post yesterday on the liberal ‘impeachment of Donald Trump’ fantasy, which rests on a fallacious delinking of Donald Trump from the Republican Party, Seth Brodsky writes (over at Facebook):

I agree—passionately—that the desperate attempt to delink the GOP from Trump is…a fantasy. But I don’t think it’s a fantasy held only by liberals, whose very identity as a party of no part, a neutral party, is dependent on it….the GOP has this delinking fantasy too, and it was all too well displayed during the primary. But it’s a fantasy framed in a very different way: Trump is the *essence* of the GOP, but an essence that needs to remain hidden, cached, the principle and not the surplus, something to keep skimming off. He is…the purely libidinal patriarch, the undemocratic king-in-the-flesh, that Republican democracy, always gnawing viciously at its own foundations, has to conceal in order to prop itself up as a kind of democratic subject. In order for the fantasy to operate, and the subject to sustain itself, the object of the fantasy must be held at a distance. It can’t actually show up….Republicans don’t actually want the primal father to show up. They *want to want him,* they want to crow to the ends of the earth about how needed he is, how shameful it is that the world doesn’t give his memory proper respect, how angry he’ll be when he finally returns, how he appeared in a dream to them and demanded, for the love of God, that we stop this nonsense, whatever it is. Which is all to say: they want to enjoy the enormous resentment that comes from His absence.

Brodsky is right here–and I thank him for this interjection of a psychoanalytic take into the proceedings. (I wonder what the Good Doctor would have made of this past election season and of the Trump Twitter feed.) The Republican Party treated Trump like an interloper and a gatecrasher and an ‘outsider’ during the primaries–thus tremendously aiding his election prospects–precisely because he was a rude reminder that this was the true beating heart of the party–just a little too vulgar, a little too overt, a little too clumsy at disguising his plain ‘ol boring Republicanness. This treatment as an outsider allowed Republican Trump voters to feel like rebels and iconoclasts, like pioneers on a new American frontier, one once again populated by hordes of shrieking Injuns (immigrants and Muslims and Black Lives Matter protesters and transgender folk clamoring to use public bathrooms for instance.) If Trump were to come to power, the game would be up; there would be nothing left to complain about. The endless whining and self-pity and moaning would have to stop; conservatives would have to admit they got what they wanted. Their loss would not be special any more. (I am merely amplifying Brodsky’s points here, but it is crucial to make note of how important self-pity is to the Republican image; unsurprisingly, Trump’s twitter feed contains many desperately self-pitying cries. Some of his most overt allies, like the police, are famously afflicted with their own deadly self-pity, the kind that causes them to kill again and again.)

They’ve got their primal father now…it’s a huge threat to their identity. But *not* because it’s external to them. Just the opposite: it’s an alien body at the heart of the party, the basis for their repression, formative and disavowed at once….there are quite a few Republicans out there who are confused as fuck, on the level of action and affect both. They’ve got their daddy now, and are not sure what to do.

Part of the problem, as many Republicans are realizing, is that when the dog-whistle is replaced by the klaxon horn, greater disruption ensues: sure, more of the faithful come out of the woodwork, convinced the Messiah is at hand, but the heretics listen too, and they take to the streets to protest like they never did before.

Where I think Brodsky and I gently disagree is that I think Republicans have begun to reconcile themselves to the presence of this realized fantasy; self-pity and dreams of power are intoxicating but so is power itself. All that accumulated misery of the eight years of watching two beautiful black people in the White House, of the wrong folk getting a little too uppity, has to find an outlet somewhere, and perhaps this regime will provide one.  Self-pity and resentment makes the Republican tumescent; power can bring blissful release.

The Donald Trump Impeachment Fantasy

Wishful thinking is in the air: this presidential incompetence is intolerable, it cannot last. Let us take bets on how long Donald Trump will last before he is evicted from the Oval Office by those who cannot put up with his trigger-happy tweeting, his brazen exploitation of the highest office in the land for personal financial gain, his reckless attacks on the independence of this land’s judiciary, his bizarre, unhinged, deployment of illegal executive orders, his juvenile foreign policy. Trump will be impeached before the year is out, before his term is over.

This is an exceedingly curious fantasy to entertain. Impeachment of a president requires the House of Representatives to vote to do so. (It also requires the Senate to conduct a trial and issue a verdict.) Do the proponents of these bizarre speculations imagine that a House of Representatives which is controlled by the Republican Party will ever float such a motion and act on it? And that a Republican Party-controlled Senate will issue an impeachment verdict to follow up? This the Republican Party that, lest we forget, has voted in lockstep to confirm all of Trump’s cabinet nominees, each one more spectacularly unqualified for the task. (So dogged has its defense of this cavalcade of incompetents been that yesterday, the Senate majority leader, Mitch McConnell invoked a slavery era rule–during Black History Month–to prevent Senator Elizabeth Warren from reading a letter by Coretta Scott King, written back in 1986, which had opposed Sessions’ nomination to a federal judgeship because of his civil rights record.) This is also the Republican Party that has expressed virtually no public opposition to any of Trump’s policies–they’ve all either been cowed down by his relentless tweeting, or they do not find anything objectionable in his policies. After all, as McConnell put it, ““I think there is a high level of satisfaction with the new administration.”

This is not a party that is going to impeach.

These fantasies remind me, all over again, of the feverish frenzy that broke out during the election season when commentator after commentator wrote about the ‘implosion’ of the Republican Party, its death-throes, its being torn apart by the conflicting impulses that had been induced by the Trump candidacy. Precisely none of that happened. The Republican Party rolled on, won the election, maintained its majorities in both houses, and found itself a new President, who now sits in the Oval Office.

One of the biggest mistakes made by political pundits in writing about the Trump candidacy and the Trump presidency has been to imagine that there is a separation between it and the Republican Party, that this administration represents some radical break with the past, that Republicans of yesteryear were milder, less ideologically unhinged, less racist, less xenophobic, less invested in taking this country to the cleaners. It has let the Republican Party off the hook; but Trump is their creation, he is of a piece with the history of this party. This present moment does not represent a discontinuity or disjuncture with the past; it represents its logical continuation.

Trump will not be impeached by the Republican Party. To hope or wish for it is just that, a fantasy. There are far better fantasies to inform your politics with.

Fighting The Gorsuch Nomination Is A Lost Battle; Fight It Anyway

Rather predictably, news of the Gorsuch nomination to the US Supreme Court has been greeted by considerable head-scratching among Democratic Party–and associated progressive–circles: should we fight or should we roll over, keeping the proverbial powder dry for the next battle? ‘Pragmatism’ and ‘realism’ apparently bid us to not fight this already lost battle, to not expend valuable political energy and resources on this skirmish, and to take the long view, the strategic one, the sensible one, so that the next really–I mean, really–important battle can be fought with the appropriate street-fighting intensity and fervor. (After all, if you filibuster, the Republicans will simply change the Senate rules on voting, and just nominate him anyway; give up already.)

Or something like that.

A greater misunderstanding of politics, a poorer read of the current American political situation, cannot be imagined. The Democratic Party rolled over last year to let the Republican Party carry out a wholly illicit refusal to even consider Barack Obama’s nomination of Merrick Garland; it has, thus far, in its responses to Donald Trump’s cabinet nominations performed a passable imitation of a somnolent jellyfish. It seems to care little for the passion and ire of those who are calling upon it to resist the Trump administration; it seems obsessed instead, with performing political harakiri, by refusing to indicate that it has the stomach or the gumption for politics as it is currently performed in America.

Sometimes political battles are fought, not because they will be won, but because fighting them communicates valuable information to those engaged in it. In this case: that the theft of the Supreme Court seat has been noted as such (there is no need for scare quotes around “theft”); that this party has heard its constituents and can be counted on to represent their interests; and so on. Call it virtue-signalling if you like; that is not a pejorative term in this context. Rhetoric is an indispensable component of political struggle; fighting this battle has immense rhetorical value.

Talk of premature exhaustion–before the supposedly great battles that lie over the hill, over the horizon, that will be upon us tomorrow–is premature. Those battles are yet to be fought; there will be time for recuperation and renewal. That recharging of political batteries will be aided by an inspired political base; there won’t be any powder left around for the next battle if your ammunition carriers have, at your refusal to man the ramparts and open fire, thrown their stores down the nearest ravine in disgust, telling all and sundry that their soldiers were a bunch of undisciplined lily-livered no-hopers and do not deserve their allegiance or commitment any more. (These military metaphors are getting out of hand here.)

The nation-wide response to Donald Trump’s cabinet nominations, the visible and loud street protests, the social media coordinated and fueled opposition which has led to an unprecedented number of people calling their elected representatives for the first time, all to make known their unvarnished opinions, has sent the loudest and clearest message possible to the Democratic Party: this nomination must be resisted.