As long-time readers of this blog know, I’ve been pretty exercised about the United States’ national healthcare policies (specifically healthcare finance, not healthcare delivery) for a long time. This was true even before I became a cancer patient and got to experience much the madness first hand. I am similarly exercised about certain other issues, such as our firearms policies (viz recent blog entries) and education policies (specifically, that we have a political and social system that allows Creationists to take control of public education, leading to monumental wastes of time and effort and the horrific mis-education of children as characterized by the Dover decision).
But we also get a lot of things right in this country. To name a few, healthcare delivery (as opposed to healthcare finance), where when the United States is at our best, we are generally the world’s best. Aviation policy, where most of the world follows FAA standards. The research-industrial complex that has delivered everything from Teflon to the Internet for the whole world to use. Higher education, where again, at our best we are generally the world’s best. Our First Amendment protections for freedom of speech and freedom of worship, which provide us with at least the potential for maximum personal expression and individual freedom of thought.
So what I wonder is about our national blind spots. If our healthcare finance system so wonderful, how come nobody else in the industrialized West has anything like it? If our national social policy on firearms is so conducive to personal liberty and a free society, how come nobody else in the industrialized West has anything like it? Quite demonstrably, more often than not when the United States get something right, the rest of the world tends to either develop in parallel or follow along. Yet no one will touch our healthcare system or our firearms policies with a bargepole. And those countries tend to have much better healthcare outcomes than we do, and much lower rates of violent crime. As Americans, we seem incapable of perceiving that.
In other words, if our policies on healthcare and firearms are such a good idea, how come no similar societies are following our example?
History will judge us harshly for some things — leading the path in climate change denial, for example. Our obsessive militarization of world affairs, for another example. But history will be simply baffled by other aspects of American culture, such as our vicious healthcare policies and our national obsession with placing deadly weapons in the hands of every citizen who ever dreamt of having one.
Blind spots. Destructive blind spots.