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Notes -
These problems won’t be fixed because fixing them would require stepping on the toes of powerful industries or interest groups who have skilled lobbyists. The current situation pleases enough of the middle class+ that even appeals to the power of the voters won’t work to create change. And any movement on them will be easily weaponized into a deadly political attack: “government death panels,” “big government interference,” “socialism,” “ICE hates brown people.”
Trump actually ran appealing to his personal wealth as a form of independence from lobbyists and party machines, but governed in his first term as a fairly standard Republican allied with industries like steel and coal.
We’re in the situation because it’s a stable equilibrium since the 80s. Some kind of massive shock would be required to change anything, something bigger than dot-com, bigger than the recession, bigger than Obama, bigger than Trump. In other words, if things changed to the point that major political reform were possible, we’d have bigger problems than healthcare costs.
Yes one explanation is that we have an 80% party and it's the corporate uniparty.
Alternatively, there's the corporate/deep state capture explanation, that as soon as a president seeking to change foreign policy gets into office, he's subject to deep state efforts to undermine him. Obama spoke of clashing with "the generals" when he tried to change course in the Middle East, while generals directly lied to Trump when he tried to pull out of Syria.
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