Want to Shut Conservatives Out of Power for Good? Implement Universal Health Care

We've worked hard to build a progressive political juggernaut that will, God willing and the creek don't rise, put us in control of both Congress and the Executive Branch starting just a week from now.

But it's one thing to get power, and another thing to keep it.

Someone (OK, it was Rick Perlstein) recently asked a group of friends to name the single most important policy step progressives could take to solidify a long-term grip on the government -- the kind of extended run we had from 1932 through to the Age of Reagan.

There were a lot of good answers. Ending privatization was, I thought, the best answer of all. Reinvesting in education is important if we want to ensure that the next generation will support and sustain our work and values. (I like to joke that the reason they call it "liberal education" is that the more of it you have, the more liberal you're likely to be. It's not quite accurate, but it's true enough.) Ensuring that people's interactions with government are useful and positive was another: In a lot of states, one afternoon at the DMV is enough to make the most ardent good-government partisan turn into Grover Norquist. (Maybe we don't want to drag the whole government into the bathtub to drown it, but that SOB at Window 11 would be a fine place to start.)

But in the end, I settled on "provide universal health care -- preferably single-payer" as my final answer. I chose this not just because health care is an important public good (though it is), but because I'm convinced that this single step will do more to rapidly and permanently undermine the conservative worldview than anything else we could possibly do.

How Universal Care Changes Everything: The Canadian Example

I've seen this happen, at very close range. Over the course of nearly five years living in Canada, I've been continually impressed by the durable, far-reaching role universal health care plays in expressing and reinforcing the entire country's political philosophy. It's probably not overstating things to say that the health care system is at the very core of the Canadian sense of national identity, right up there with the Mounties and the Hudson's Bay Company and well above the Queen. Every time my neighbors go to the doctor, the experience reaffirms a set of cultural assumptions that, over time, have made and kept the country unwaveringly progressive.

First, they're reminded that taking care of each other is a core Canadian value -- a cherished piece of who they are. In the Harper era, the conservatives up here have tried hard to sell American-style rugged individualism and the belief that "you're on your own" (or should be), beholden to no one, needing no one. Most Canadians reject this as a peculiar form of insanity: Their interdependence is so patently obvious to them that it's like denying the existence of gravity. They're so proud of their health care system -- and what it says about them as a nation -- that, when asked to name the greatest Canadian in history a few years ago, they chose Tommy Douglas, the provincial premier (governor) from Saskatchewan who was the father of the first single-payer plan.

Second, they're reminded that their government does useful and important things that add immensely to their quality of life, and thus deserves their ongoing support. And their high hopes also lead to high expectations. They not only expect a lot from their health care system; they also expect that their police will be respectful and law-abiding, their city parks will be well-tended; and their public buildings will be beautiful. If it takes money to make that happen, they'll spend it -- but those who've been trusted with it had better be damned careful. Where Americans believe in "life, liberty, and the pursuit of happiness," the Canadian Constitution calls for "peace, order, and good government." And that set of aspirations is reinforced every time they walk into a doctor's office and get the treatment they need.