Maeve Reston reminds me of a conversation from 1993, reconstructed and reimagined from my memory, after an OEOB Ira Magaziner health care reform meeting:
Another Treasury Deputy Assistant Secretary: "You've lived in California; Washington, DC; and Massachusetts. You don't really understand the rest of the country--you don't understand the South; you don't understand Texas."
Me: Half my extended family lives in Florida...
ATDAS: "That's not the South..."
Me: Three of my four grandparents come from Ohio, Illinois, and Missouri...
ATDAS: "The Midwest is not the South, or Texas..."
Me: One of my great-great-great grandfathers is buried in Wichita...
ATDAS: "And Wichita is not Texas.
Me: True...
ATDAS: "You don't understand the Republicans we have in the South, and in Texas. You know of Northeastern and Left Coast Republicans. Even Midwestern Republicans--especially Bob Dole--actually think that sick and disabled people, even if they are poor, should be able to get the health care that is good for them, without having to beg. That's not the case with Republicans down in Texas. Republicans in Texas think that if you can't pay the doctor out of what is in your pocket and from the insurance policy you bought, then you need to go beg at your church. And only after you have begged at your church, and begged sincerely and abjectly enough, might your church find itself paying for you out of Christian charity--the benefit of which is to save their souls, not your body!"
Me: But...
ATDAS: "They don't like Medicaid. They don't like Medicaid because it short-circuits this process. You get treated but you don't have to beg for it. The only reason they vote for Medicaid--and Texas only votes for grinchy Medicaid--is that the rich doctors of Dallas and Houston who contribute so much to the Republican Party think that Medicaid means that they don't have to dig into the pockets of their practices to support charity care."
Me: But what if you don't have a church!
ATDAS: "Then you should go join one, shouldn't you? That's a benefit..."
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