neo-liberalism as american martyrdom
There’s long been a line of argument against the USA adopting a “socialized” medical system that goes something like this. “Sure, Canada and the Europeans have their cheap and equal systems. But the only way they can have those systems is because they freeload on the back of us, the unequal Americans. For instance, because we don’t have a single-payer system that forces the prices of newly developed prescription drugs down, the pharmaceutical companies have real incentives to develop new drugs. The NHSes of the world then purchase those drugs at a cut rate while Americans pay the true cost of their development.”
In other words, according to this line of thinking, Americans are actually the self-less martyrs of the medical world, paying ridiculous sums for treatment so that Brits and Canadians and Scandinavians can ride free. Were we to develop a single-payer system, the pharmaceutical industry would simply stop trying so hard to develop life-changing and life-saving drugs.
I’ve just found evidence in Ross Douthat’s column today in the New York Times that this meme is expanding its borders, moving from medical services to the global economy as a whole. Here’s the relevant passage:
The European model of social democracy has its virtues, but it has always depended on the wealth created by American laissez-faire. As a recent economic paper entitled “Can’t We All Be More Like Scandinavians?” points out, it’s easier for smaller countries to afford a more “cuddly” form of capitalism if big countries like the United States are driving global economic growth. And the price of a permanently larger government — in growth lost, private-sector jobs left uncreated, breakthroughs forgone — is much higher for a country of our size and influence than it is for a Sweden or a France.
Beyond the truthfulness and accuracy of the claims – which I’m sure is a mixed and complex matter – I am taken with what a strange argument it is when it comes, as Douthat is implicitly doing here, to using it to try to influence policy decisions / voting choices. Basically, it suggests that Americans, living inside a rapacious economic and political system fuelled by greed and inequality, are in effect trapped in a perverse and permanent mode of self-sacrifice, forced to accept their unhappy system so that (or almost “so that”) others might live better lives.
It’s neo-liberalism rebranded as a form of martyrdom, a bounded match of “survival of the fittest” that serves the corpses of the victims as free barbecue to the bystanders at the end of the game. Or, from another angle, it is the most passive-aggressive version of “combined and uneven development” imaginable. Strange.
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