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Yan Song's avatar

Yascha is absolutely right that it is time for Democrats look into the mirror and ask some hard questions. However, the soul searching needs to be expanded beyond the political establishment and into the ruling class in general, including the institutions that Persuasion is associated and allied with. I have read columns after columns by Persuation that skirt the deeper issues beyond the loss of trust in ruling elites by average Americans. None has been willing to look into the mirror themselves. It is simply not enough to bemoan the loss of high trust American society of yesterday without diagnozing the why and explore the how to restore it. It is simply not enough to protect democracy without understanding what democracy is for. The social and cultural reality of our time require us to reflect more deepely and innovate more daringly than the rulign elites have heretheto been willing to. This election should be a wake-up call for the elites if they wish to stay relevant.

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Kyle's avatar

- i think it’s fair to characterize my family as historically center right or maybe even right.

- Everyone went never Trump or democrats when Trump emerged, except one.

- One family member - my brother - voted for Trump and was adamantly pro-Trump. It caused a pretty deep rift among the family and especially siblings.

- My wife is from Lviv and moved to the USA at a young age after the Soviet Union fell. They were fleeing violence from the early version of the FSB. This violence culminated with a machine gun being held to my wife’s head when she was five years old.

- This can get deeply personal really quickly. And it did, even with a brother.

- There was a year or more - maybe two - where I did not speak to my brother (and vice versa).

- I genuinely believe that many of the reasons I voted for Biden ended up not being honored. As a lawyer, I found the abuses of the democratic processes to often be just as egregious as Trump’s — they were often just more subtle and less obvious to anyone that did not have a close eye on the federal agencies and did not have experienced context for what is normal and what is decidedly not normal. Was it as bad as the worse of Trump’s abuses? Maybe not. But it often seemed far more extensive. I don’t know if this was Biden or just people slipping stuff past an old man who couldn’t monitor everything. But it deeply disturbed a lot of liberal leaning lawyers I know.

- This deeply angered me because it’s not what I voted for. I still respected the Biden, particularly in light of his masterclass performance on Ukraine.

- Nonetheless, I spent these past few years seeking to learn. As part of trying to restore my relationship with my brother, I worked hard to try to understand Trump’s appeal.

- You know what? Trump is often remarkably on point in so many ways. But this is a “vibe” or “intuitive” level understanding rather than the kind of deep policy knowledge that most of us are accustomed to in leaders.

- Thing is…Trump’s instincts identified a lot of problems that a lot of people who were engaged in group think on fundamental issues just missed or dismissed or didn’t talk about.

- Here’s an example: Globalism. It’s clear that in the aggregate it’s good for the USA. But - as a nation and society - we didn’t take its localized costs seriously enough.

- How many decades did one administration after the other spend oxygen talking about job retraining to help the rust belt out? But no one really worried about the total absence of middle class jobs in the rust belt to replace the jobs that were lost.

- The expectation - clearly - is that people would move to find their new job and opportunity. Except that there is absolutely no data to suggest this is a remotely reasonable expectation. Most people spend most of their life living very close to their birthplace and if they move away, they tend to move back.

- At best our approaches to address the localized costs of globalism were largely doomed to fail. At worst, we never really cared.

- Many Medicare and Medicaid budget cuts that occurred over the years were just screwing hospitals by discounting what the government paid them. As a result, hospitals receive payments that are below their cost of providing care. There are areas of the country that predominantly rely on Medicare and Medicaid. This quickly drove these hospitals under, resulting in dramatically reduced availability to healthcare, shortened lifespans and had the additional benefit of gutting what was often the primary employer in the area. In short, it causes concentrated devastation.

- This kind of so-called budget cut became big-time in 1997. But the two parties do go back to this trick from time to time.

- The area in question that is most affected? You guessed it: Trump Country. This is one of the reasons why rural care is abysmal in the USA.

- Yes there is frustration about shouldering defense for NATO without much help. But I am not sure how deep that frustration really runs.

- I do not think people fully understand the extent to which we also subsidize the healthcare for the globe.

- The WTO is supposed to protect patent rights. i.e., the monopoly pricing power afforded by patent rights. Except, after agreeing to this construct, every other country runs around and puts in place a single payor system or other mechanism to cap prices or regulate prices. And apparently these devices that gut the purpose of creating worldwide patent protections are not a problem under the WTO because it’s domestic policy.

- So who is left holding the bag? The U.S. The sole sucker left supporting a free market structure designed to fund R&D into much needed pharmaceuticals. This kind of research is incredibly expensive and even the U.S. buckles under the strain of paying for the planet’s pharmaceutical R&D costs. It’s also not just prescription costs. Because drug costs are the primary driver in other - more material components- such as inpatient / outpatient care and in long-term care. In these kinds of context, it’s hidden as a hard to find sub-bullet, such as doctor administered drug. Or some such. But it’s a huge driver in the cost of US healthcare differential vs other countries.

- The numbers here are staggering and people would be frothing at the mouth if they fully understood the cost internalized by the U.S. to keep research going for the globe.

- But while people may not fully understand the ins and outs, 1/3rd of Americans have stopped taking their prescription drugs because they can’t afford them. People do understand this kind of stuff. And they do understand being unable to retire because it requires saving an exorbitant amount just to die with grace and dignity.

- They know something’s different and this isn’t how it used to be.

- In addition; this also impacts American companies. Where did American manufacturing go? Well. It didn’t have to go anywhere. Except part of the WTO is that there aren’t supposed to be subsidies. Except lots of countries can quite cheaply nationalize healthcare and they don’t have to worry about a socialist reform breaking the market because the U.S. is there to keep the market functioning. All the benefits of socialism with none of the risks or costs of human propensity to break the market with a command and control approach.

- The kicker? Their companies now operate without the cost of healthcare as an expense. BOOM. They can immediately produce high quality products at lower prices than American manufacturing.

- All of a sudden there is this big sucking sound in the middle class as American companies have to move manufacturing offshore to stay alive.

- Huh? So the U.S. subsidizes the world and supports the WTO while the world turns around and plants a big knife in the U.S. back. And somehow this is all fine under the WTO? Okie dokie.

- But the U.S. retaliating economically for this kind of behavior? That’s a problem under the WTO. Because of course it is.

- I don’t know that Trump fully understands this stuff. He certainly hasn’t messaged it well. But this is really only part of the picture and it’s pretty god damned egregious.

-People often aren’t going to be able to figure out exactly how they are getting screwed. But they are also often intelligent enough to intuitively know when they are getting screwed.

- That’s America First. That’s MAGA. That’s why this movement is here to stay until things get fixed in a way that is more equitable for Americans.

- When I worked through a lot of those stuff, well, suddenly voting for Trump seemed a whole lot less crazy.

- Do I like Trump? No. Have I voted for Trump? No. But the Trump movement - as a political and economic movement devoid of its cult of personality - makes a helluva lot of sense.

- It’s time for the world to pay their own way. The U.S. is done doing it. Honestly, everyone is

lucky there is a pacifist element to isolationism bc this quickly sends steam flying out of the ears.

- Perhaps at first it was about the Cold War. Then maybe it was all in pursuit of establishing of a new world order of peace and utopia. Funded by America because otherwise we would never get there. Kind of sounds like that well-intentioned adventure in Somalia that had nothing to do with foreign policy interests and ended with Blackhawk Down.

- At any rate, I think the U.S. is done subsidizing the leisure and budget flexibility of other nations. Rightfully so.

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