What’s in it for me?
That’s the way Americans debate health care, just as it is the way we debate everything these days. What will it cost me? What will be my options? What will be the effect on my taxes? This is not an entirely absurd or venal approach. Self-interest is an appropriate prism through which to evaluate public policy. But this narrowness and solipsism illustrates the way in which America has personalized, and thereby stunted, what used to be called the American Dream.
The American Dream represented the idea that the United States was a place where any person could accede to whatever life their talent, ambition, and diligence would allow. It was about universal, common opportunity. Today, it is about my opportunities. It is the notion that I can succeed, I can acquire; and it’s every dog for themselves.