I’ve never been able to understand the hysteria of Obamacare’s opponents.
I certainly “get” political disputes, policy disagreements, differing approaches to economic analysis…but the mean-spiritedness, the over-the-top vitriol, the consistent lies about what the law does and how it works, and the ongoing contrived legal attacks motivated solely by a desire to deny poorer Americans access to medical care have astonished me.
From whence the paranoia?
In case the situation with the latest Obamacare lawsuit, King v. Burwell, wasn’t surreal enough, along comes the anti-Obamacare lawyer Michael Carvin, and some of his, um, more colorful ideas about why the Affordable Care Act is bad law. Trying to contrast the ACA with the constitution, Carvin characterized the ACA as “a statute that was written three years ago, not by dead white men but by living white women and minorities.”
It’s startling to see an Obamacare opponent so bluntly characterize efforts to destroy the law as a way to preserve white male privilege in this way, much less taking it so far as to suggest the privileges of dead white men count for more than the needs of living women and people of color. But it shouldn’t be. The race- and-gender-based opposition to the ACA has been baked into the fight against it from the beginning, when the bill was very nearly derailed by opponents claiming that it would somehow override federal bans on funding abortion.
Since then, though rarely with as much directness as Carvin, the conservative fight against Obamacare has been about needling the gender- and race-based resentments of the conservative base in an effort to demonize Democratic efforts to create universal health care.
Social science, as Paul Waldman showed in the Washington Post last May, bears this out: Attitudes about race and about the ACA are tightly interwoven. Research has shown that negative attitudes about black people increase hostility to health care reform, that opinions about health care reform polarized by racial attitudes after Obama’s election, and that nativist attitudes predicted hostility to health care reform. Research has found that white people with high racial resentment, regardless of their opinion on Obama, view health care reform as a giveaway to lazy black people. You can see why people don’t say these things out loud in public, but the eyebrow-wriggling and hinting has been strong throughout this debate.
The gender-baiting, in contrast, has been way more explicit. Ever since the HHS announced that contraception would be covered as co-pay-free preventive service, conservative media has gleefully portrayed the ACA as a program to give hot young sluts an opportunity to screw on the public dime, an argument that managed to get this narrow provision all the way to the Supreme Court. Never mind that young women with private insurance are no more on the public dime than any other people who have private health insurance. The idea that sexy young things are having fun without you but making you pay for it has been just too provocative for conservative pundits to let facts get in the way.
I’d love to reject this thesis, but its explanatory power is too persuasive.