Obama is about as conservative as one can be and still be considered left of center. I mean, his signature accomplishment was invented by the Heritage Foundation.

That doesn’t mean you have to like him. And of course you don’t have to embrace cultural relativism. But if you can’t see eye to eye with a slightly left of center Democrat OR the radical left, then there’s truly no place for you on the left. Calling yourself “left of center” does not, in fact, mean that you are left of center. You might as well face that reality, as well as the reality that the left is probably no longer interested in your opinion.

And no, I don’t believe the left needs to move ever to the right to capture ever more centrist support. At some point it would stop standing for anything besides a thirst for power.

And no, I don’t believe the left needs to move ever to the right to capture ever more centrist support. At some point it would stop standing for anything besides a thirst for power.

Be careful, we’ve seen what has happened when the GOP allowed their extreme wing to capture an oversized influence in their party.

Of course, but context is everything. The GOP currently has a problem with ideological capture. The Democrats currently have the opposite problem, where in an effort to appeal to the center, e.g. Jim Webb, they risk losing their identity (though less so than a decade ago).

Moderation in all things.

This really sounds like the what the Corbynistas churn out. Anyone in the Labour Party who isn’t outside the Israeli Embassy waving a Hezbollah flag is “Red Tory” and should resign from the party now, and that they’ve made the concious decision not to adopt a broad, reconciliatory approach with the party and the electorate to find a common ground that puts a socialist party in power (and essentially a government that supports the NHS and benefit system), but to remain forever more a party of protest.

In contrast, there is no single litmus test for Democrats. Casey is pro-choice, Tester is pro-gun, Obama is anti-transparency, etc.

But if you simultaneously reject the conservative and radical wings, then yeah, you don’t really belong. It’s like showing up at a house party and complaining about the music, and the beer, and the food, and the company.

Remember the crazification factor. It is not hard to find the occasional lunatic. Even in Nazi Germany there were Jews who backed Hitler.

A gay muslim voting for Trump would be like pwk voting for UKIP.

Jim Webb is not the center of America- he is representing a dying breed of rust-belt style Dems that were big on the economic justice but also big on law and order.

He was actually a Republican until 2006. So I think it’s fair to label him “centrist”, even though of course his positions are more nuanced than simply the average of American political opinion.

That said, he now says he might vote for Trump, but has ruled out voting for Clinton. So it’s pretty clear that the Democratic party is no longer a good fit for him - and I respect him for acknowledging it.

Again, I think this is the very myth I’m talking about. “Did not do a very good job” in relation to what? In relation to what was possible at the time, with the state of education and technology at the time, or in relation to an arbitrary ideal set up in hindsight specifically in order to … make liberalism look bad in comparison to the touted ideal of what hypothetically successful socialism would be like?

If you have to lament that unions became too powerful and broke the system it’s because your system is flawed.

Unions didn’t “break the system” but they were hijacked by alien, Marxist agents, who saw them as a ready-made practical realization of their theoretical “vanguard of the revolution” ideal, instead of the liberal spontaneously self-organized collective self-help institutions they originally were. Essentially, what happened in the 19th century was that working class people were in fact self-organizing their own response to the downsides of capitalism, in terms of welfare, education and medical care, on multiple fronts. But the welfare spontaneous order got fucked by Marxism, and the education/medical care spontaneous order got fucked (mainly) by the Right (intention of creating docile cannon fodder) taking education (and later medical care) into state control.

And then the First World War happened, and a huge chunk of the young men who had been engaged in the previous processes was killed (e.g. when we think of the war poets, we think of the famous middle-class ones, but the most notable thing was the vast outpouring of writing by working class people, both men and women). By that time, what with the war itself necessitating a great deal of centralization, and the general idea of State Good taking over the intelligentsia on purely theoretical (NOT PRACTICAL) grounds, civilization entered a period of state dirigisme.

You see, the tail is wagging the dog in all of this: it was the theoretical idea that the state could do better than what private means was already doing, that started to take over, not some great found failure in the private provision. What actual failure of private provision there was, was inflated in order to make the theory attractive.

If you want to know the real historical roots of the problem, it’s actually Bismarck’s Right-wing proto-“social-democratic” reforms. Capitalism created a bunch of working class people who were finding themselves with some leisure time to think, to self-educate, to find their own forms of entertainment, etc. The politics they were tending towards was mostly liberal (think of the Manchester Guardian’s origins), but somewhat to the Left. And they were self-organizing. This put the fear of God into the Right, who, having lost the battle for kingship and privilege in the great liberal/democratic revolutions, wished to bring the situation under control again. They tried to pre-empt liberal and socialist demands by instituting carefully controlled socialist measures that would take the bite out of working class self-organization by getting the kindly State to provide those elements of welfare and education that the working classes were starting to organize for themselves. Bismarck’s reforms were the most thoroughly consistent and became the model for the modern state, but all the main European countries (and inspired by them, the US too, eventually) experimented in a similar way. Bad money drives out good, and the rest is history.

The bathetic irony is that some socialists, and later social democrats, approved of, and took further the very same type of basically organicist, Right-wing organization of society via the State, and called it “socialist” ;)

Of course it turned out the private sector would never even come close to providing what was needed,

Evidence? Remember, the liberal idea was never just to “rely on charity”, it was to free the energies of the working classes to individually and collectively help themselves. Consider education. There’s quite a major “tell” here. In the case of the UK, if you look really closely into this, you will find that, as someone who did look into it (E. G. West) said, “almost universal schooling and literacy before the 1870 Act allowed the state to ‘jump into the saddle’ of a horse that was already galloping”. When the state first took over education in the UK towards the end of the 19th century, ostensibly to “plug in gaps”, all it did was take over a bunch of schools that had already been built and already existed. It didn’t build many new schools for quite some time, in fact. And lots of those schools, which had been privately built, privately funded (by philanthropists, religious groups, or working men’s associations and the like) still stand today; as do many of the hospitals that had been created at roundabout the same time, in the same way.

Now the question of whether this “came close” to providing “what was needed” may be arguable. What I would argue at a minimum would be that if you look into it for yourself critically, rather than relying on what people you already agree with say, you will find the “gap” to be narrower than you supposed.

Again, this is mind-virus stuff - and in these cases (particularly education and medicine), it’s as much about the syndrome of the Right trying to regain control of the situation as it is about the Left hareing off after its own ideals. IOW, many of these reforms were paternalistic (and many of the reformers patrician), not the result of a careful analysis of facts by nascent modern-style liberals of the day, finding fault with their former classical liberal ideals.

Irony here too: nowadays, it’s the Left that’s bamboozling the Right into taking on its own terms of discourse (some of the stuff I’ve been complaining about). In those days, it was the Right that won the memetic war, by co-opting liberal ideas, injecting them with organicist Right-wing metaphors, and transforming Left-leaning liberalism into the socialism - in the American case, liberalism - of central control. I’m hoping this may be ringing a bell in the dim, distant recesses of your mind ;)

Now let’s be clear on something; I am absolutely a liberal and a humanist. I think that it has been empirically demonstrated that universal medicare and universal education are vital to the success of modern society. It has been empirically demonstrated that people should not have the right to discriminate against their fellows. It has been empirically demonstrated that minimum wage laws and government run welfare is vital to protect labour against the excesses of private enterprise. These are above all, practicalities that recognize the way the world actually is compared to how you wish it were.

(Apart from the question of discrimination, which of course I agree with) you may believe this has all been empirically demonstrated, but it actually hasn’t. The debate is still live - partly of course because it’s extremely difficult, but partly also, because there are elements of persuasion and hypnosis threading through it all that make it difficult to avoid cognitive bias. Even with history, it can often be tendentious rather than objective.

We won’t see eye to eye on this, but can I just gently remind you that your own “side” isn’t necessarily free from cognitive bias either? ;)

Rejecting reality because you would like to adhere blindly to a 19th century ideology is stupid whether you are a classical liberal or a communist. Ideas are either good or bad and should be decided so on their merits as it pertains to society today, not because you are dogmatically following or opposing one or another 19th century political theorist.

Agreed.

It didn’t do a good job because it resulted in a miserable populace primed for revolution.

Unions didn’t “break the system” but they were hijacked by alien, Marxist agents, who saw them as a ready-made practical realization of their theoretical “vanguard of the revolution” ideal, instead of the liberal spontaneously self-organized collective self-help institutions they originally were. Essentially, what happened in the 19th century was that working class people were in fact self-organizing their own response to the downsides of capitalism, in terms of welfare, education and medical care, on multiple fronts. But the welfare spontaneous order got fucked by Marxism, and the education/medical care spontaneous order got fucked (mainly) by the Right (intention of creating docile cannon fodder) taking education (and later medical care) into state control.

Even if this were true, that “alien” Marxists somehow destroyed your ideal system, what would have been your solution for that? Again, if your system cannot cope with human nature it is not workable as is.

Evidence? Remember, the liberal idea was never just to “rely on charity”, it was to free the energies of the working classes to individually and collectively help themselves. Consider education. There’s quite a major “tell” here. In the case of the UK, if you look really closely into this, you will find that, as someone who did look into it (E. G. West) said, “almost universal schooling and literacy before the 1870 Act allowed the state to ‘jump into the saddle’ of a horse that was already galloping”. When the state first took over education in the UK towards the end of the 19th century, ostensibly to “plug in gaps”, all it did was take over a bunch of schools that had already been built and already existed. It didn’t build many new schools for quite some time, in fact. And lots of those schools, which had been privately built, privately funded (by philanthropists, religious groups, or working men’s associations and the like) still stand today; as do many of the hospitals that had been created at roundabout the same time, in the same way.

See this is where you are confused; the question is of access, standards, and benefit for the general population, not whether private interests can build buildings better than the government. Privately run hospitals and schools serve paying customers. Publicly run hospitals and schools serve everyone.

you may believe this has all been empirically demonstrated, but it actually hasn’t. The debate is still live - partly of course because it’s extremely difficult, but partly also, because there are elements of persuasion and hypnosis threading through it all that make it difficult to avoid cognitive bias. Even with history, it can often be tendentious rather than objective.

It is empirically demonstrated, for example, because in democratic countries with similar economic standards of living, universal medicare works better to bring medical care to more of the population at a lower overall cost.

The hypnosis/mind-virus stuff just make you sound like a crazy chem trail tinfoil hat conspiracy crank so you should probably just drop that. Believe it or not we are all free thinking humans.

If that were true, the revolutions would have happened in the more industrialized, capitalized countries - as Marxist theory predicted, right?

No, this is just you falling for the hype I’m afraid.

Even if this were true, that “alien” Marxists somehow destroyed your ideal system, what would have been your solution for that? Again, if your system cannot cope with human nature it is not workable as is.

People weren’t aware at the time what was happening. In hindsight we can see it, and hopefully learn from history and not make the same kind of mistake again.

See this is where you are confused; the question is of access, standards, and benefit for the general population, not whether private interests can build buildings better than the government. Privately run hospitals and schools serve paying customers. Publicly run hospitals and schools serve everyone.

Yes, that’s right, the question of access: the point is there was no greater access for the general populace to education after the 1870 act than before. “Standards” - well, in my school in my wee Scottish hometown, when we did past papers in preparation for our ‘H’ grades in the late 70s, we found that the past papers from the early 60s were much harder. The introduction of multiple choice tests was a drop in standards (anyone with half a brain and a smattering of what they were supposed to be learning can answer multiple choice questions; much harder to actually answer questions properly in your own words, without klaxon hints).

That’s the problem with standards in a state system: they gradually decline as numbers have to be inflated, as the government has to be seen to be educating people. Then eventually you get MacDonalds workers with a useless degree (part of the same syndrome actually: meaningless degrees in “gender studies” are themselves a kind of lowering of standards - basically anything you can answer with word salad represents a lower standard of thought and discourse).

In reality the real driver behind state education was not to benefit people by educating them (they were already educating themselves - sure there were gaps the state could have filled, but they weren’t that big). Rather, it was to create “model citizens” in some sense (either a Right-wing sense or a Left-wing sense).

The ultimate result is the gradual dumbing-down we see around us. From the self-educated late 19th/early 20th century generations that produced the war poets, and masses educated enough to be interested in economics (cf. the Manchester Guardian again), to our contemporary Idiocracy - quite a fall.

It’s fortunate that technology has its own momentum and only needs a few people who’d be smart enough anyway. It always comes down to a race between technology and human stupidity. But imagine what sort of world we could have with the technology and an alert, upright, thinking mass.

It is empirically demonstrated, for example, because in democratic countries with similar economic standards of living, universal medicare works better to bring medical care to more of the population at a lower overall cost.

But what kind of medical care? Soviet Russia had universal medical care - not terribly good quality (except in a few areas). If it’s better to have the state doing it why not go the whole hog?

In fact, it’s all cosmetic.

Same with anything except genuine public goods or good subject to market failure (which education and medical care certainly aren’t). Parents generally feed their kids. You don’t think so? Then let’s put feeding kids under the control of the state.

I mean, Christ, the whole thing should have been understood as soon as the Corn Laws were repealed: apart from water, food is the most important necessity for life. If you are correct, then surely the more important a thing is, the more the State should be “looking after” it?

Think it through.

The hypnosis/mind-virus stuff just make you sound like a crazy chem trail tinfoil hat conspiracy crank so you should probably just drop that. Believe it or not we are all free thinking humans.

As you may have noticed, I don’t really care what people think of me. If I’d cared what people thought of me, I would have remained a socialist.

The term “mind-virus” is quite appropriate: memes are replicable patterns of human action, they evolve in a way quite analogous to genes. Words, ideas, ideologies, games, techniques, forms of play, etc., they are all this type of thing. Some of them are beneficial, others not so beneficial - they just replicate uselessly, or even to our positive detriment. Like viruses.

They did not happen because the capitalist democracies actually paid some attention to the needs of the working class.

People weren’t aware at the time what was happening. In hindsight we can see it, and hopefully learn from history and not make the same kind of mistake again.

Same complaint the communists had; foreign agents-provocateurs and saboteurs infiltrated the communist system and tried to break it. Isn’t that interesting!

In reality the real driver behind state education was not to benefit people by educating them

More conspiracy silliness. It’s all about brainwashing again with you. It couldn’t be that given the largest percentage of the population a good base education improves social mobility and increases the number of brilliant minds who can spring forth from bad circumstances!

The truth is that universal education results in greater engagement of the population in all aspects of society.

But what kind of medical care?

Perfectly good medical care with outcomes as good as and in some cases better than that offered by the American system, and at a fraction of the cost.

Same with anything except genuine public goods or good subject to market failure (which education and medical care certainly aren’t). Parents generally feed their kids. You don’t think so? Then let’s put feeding kids under the control of the state.

Already the case that the state can take children away from their parents if their parents are not feeding them.

I mean, Christ, the whole thing should have been understood as soon as the Corn Laws were repealed: apart from water, food is the most important necessity for life. If you are correct, then surely the more important a thing is, the more the State should be “looking after” it?

Yes the state should make sure that everyone has access to clean water and that people do not starve. No one in the 1st world should ever starve.

The term “mind-virus” is quite appropriate: memes are replicable patterns of human action, they evolve in a way quite analogous to genes. Words, ideas, ideologies, games, techniques, forms of play, etc., they are all this type of thing. Some of them are beneficial, others not so beneficial - they just replicate uselessly, or even to our positive detriment. Like viruses.

And you conveniently ignore the fact that you could equally be a victim of a “mind virus…” if you really beleive that is how human cognition works then you cannot discount that. Therefore you cannot trust yourself or be responsible for your words or actions.

It’s like arguing if free will exists or not. There is not actual scientific evidence that free will exists, yet taking the position that it doesn’t is not tenable for society.

While I appreciate most of your other points, using Soviet Russia as an example of why universal healthcare does not work is extremely disingenuous. I guess you could have use Cuba too. Universal public healthcare in current developed countries is of extremely high quality, in many of these countries being better (if more inconvenient) than the private alternative (here you would never go to private care for a serious illness, the best doctors and equipment are in the public sector, by far).

As soapyfrog points out, outcomes and efficiency are by pretty much any measure and study, superior to private systems (mostly because private systems tend to delay treatment).

This doesn’t tend to be true, does it?
Generally, the US system gets dinged for a failure to universally cover the population… but for those who are covered, the results have consistently been extremely good, with (I believe) the highest patient satisfaction ratings of developed countries. Now, it’s possible that this has changed, but I don’t believe so.

The big problem though, and one which is not solved by any systems that I’m aware of, is that all of these systems have out of control cost increases. They are all unsustainable at various points in the future, and I’m not sure that anyone has figured out a way to address that yet.

There is an important concept in medical research called “intention to treat”. It means that results are measured in all the people who were enrolled in a study, not just those who tolerated the treatment.

In other words, if you develop a wonder drug that cures Ebola BUT the side effects are so bad that half the recipients stop taking it and die, then your drug is considered to have a 50% cure rate, not 100%. You can’t ignore the people who fall out of the system, because when you offer someone all the benefits of medical care, you also bind them to all the burdens of medical care.

Analysis by intention to treat is now expected in all high-quality drug studies. I don’t know if its financial analogue is used when looking at health care policy. But it probably should be.

You can control costs, but only if your ruthlessly restrict access to that (ostensibly universal) healthcare. And only if you use the least expensive treatment options.

From a political perspective, I don’t think it would be tenable in this country. People wouldn’t put up with the wait times, and they would demand the more expensive treatment options. You’d see political meddling, which would bankrupt the system in turn.

Magnet got it covered, but just to reiterate.

Patient satisfaction is not an index any serious medical study looks at (financial studies, from insurers and private hospitals might, though). You look at quality of life, expectancy, recovery rates etc… Also, customer satisfaction is a strange metric when you consider the amount of people that think the healthcare system needs to change in the US is way higher than the equivalent in, say, Germany.

Moreover, we are talking about public health, not the health of individuals, but the overall health of everybody on the system. Systems, as a whole. You can’t isolate just patients covered with great insurance, as you can’t go to Spain (for example) and measure the quality of the public health looking at the best, most equipped public hospital (which is the extremely high percentile of any rating, including client satisfaction, but it’s not really the norm).

Also, you need to define coverage. A private system with moderate to big deductibles is pretty horrible coverage, even if it extends to most of the population. If you have, say, a $2k deductible on a plan, you might put away doctor visits until a problem gets worse, since you are not covered for that initial amount. This impacts outcomes in treatments (and costs) a lot. Systems with caps on coverage offer different but equally significant issues when considering effectiveness of treatment.

And the pace of rising costs is much minor in European systems than in the US. It’s still unsustainable long term, sure, but medium and short term is easy to deal with, since the percentage of GDP is normally under 10% still.

Not really. There’s very little restriction of (clinically proven) better but more expensive treatments.

What you do is create longer waiting lists for minor checkups and conditions. You cut at the bottom, but keep the important treatments (and access to it) available.

That leaves the private sector to take care of that bottom (fast consultation), and thus you have private plans that cap at around $200 per month for older people, since they know for the most expensive treatments the patients will choose to go to the public system anyway.

Actually the US has a big advantage here (should it implement a universal public health system). The problem in Europe is that costs are rising mostly because the population is aging (which also means there’s less tax income going into the system). A much younger population, like the USA’s, would certainly offer more financial resilience.

Yup but not better outcomes overall (in some specific cases yes, but worse outcomes in many important areas), e.g.:

The U.S. health disadvantage is more pronounced among socioeconomically disadvantaged groups, but several studies have found that even the most advantaged Americans may be faring worse than their counterparts in other countries.

Outcomes are, at best, similar. And that’s for the covered, well-off population.