The transcript is here.
At one point, Shields says
this is beyond the Obama administration. If this goes down, if the Obama — if health care, the Affordable Care Act is deemed a failure, this is the end — I really mean it — of liberal government, in the sense of any sense that government as an instrument of social justice, an engine of economic progress, which is what divides Democrats from Republicans — that’s what Democrats believe.
At this stage, they are inclined to put the blame on the American people. Here is Brooks:
My big thought is, are we no longer the kind of country in which you can pass this sort of thing? And by that, I mean, when you were passing the New Deal or the Great Society, there were winners and losers.
But the losers felt part of a larger collective and they said, OK, I’m going to take a hit for the team. We may no longer have that sense of being part of a larger collective, so when you’re a loser, you just say, I’m a loser. And, as a result, you’re just not willing to be part of the group.
…we have lower social trust, lower faith in the institutions, lower sense of collectivity.
And those are deep social trends that have been building for decades, but it just makes it much harder to sustain this kind of big legislation.
Shields agrees:
The we-ness of our society, the we, that we’re all in it together, has really been diminished.
To be charitable, this narrative could be correct. That is, it could be that the wonks who designed Obamacare had the right idea, and that the American people are too selfish and too unwilling to trust government to allow it to be implemented honestly and properly.
However, I see things differently.
Start by asking why it is that Healthcare.gov is not as good as Amazon.com or Kayak.com. One answer is that the government is not good enough at deploying information technology. However, I think that is only a shallow answer.
The deeper answer is that when we look at Kayak and Amazon, we are seeing the survivors that emerged from an intense tournament. In this tournament, thousands of competing firms fell by the wayside. Competitors tried many different business models, web site designs, business cultures, and so on.
Healthcare.gov did not emerge from this sort of competition. It came about because Congress passed a law.
Central to my approach to economics, and that of other economists who are variously called Austrians or market-oriented economists or Smith-Hayek economists or what have you, is the respect that we have for the evolutionary process by which markets produce innovation and excellence. My sense is that what divides us from pundits like Brooks and Shields, and even from most economists, is the credit that we assign to market evolution rather than elite expertise as a process for solving problems.