The Challenges of Reforming Health Care in a Partisan Era

Recorded on March 22, 2017 In a lively debate Avik Roy and John Podhoretz discuss health care coverage and whether the American Health Care Act (AHCA), created to replace Obamacare/Affordable Care Act (ACA), will solve our health care problems. They both agree that if we could begin again we would never design a health care system like ours, but, since we cannot start over, how can we make things better. They debate whether universal health care coverage is a good idea, how to provide health care coverage to the most needy, and allow the wealthy and more capable citizens to choose and pay for their own coverage. Roy thinks the system the Affordable Care Act put in place caters too much to the wealthy and that the AHCA will just exacerbate health care inequality. Podhoretz and Roy’s debate ranges from health care to race, inequality, history, and the election of 2016. They note that the Republicans and Democrats are split/disagree on many issues and ideas. Trump voters watch different TV shows and movies, read different newspapers, and have different cultural experiences than the Clinton supporters; therefore the two parties see the world through very different lenses. They examine the changes in the Republican and Democratic Parties over time, including their involvement in the Civil Rights movement and the rise of identity politics and racism. The interview ends with a question on fatherhood and how it shapes both Podhoretz's and Roy's thinking as journalists and public intellectuals. Podhoretz does not want to foist his feelings and views on his children but notes that the media no longer make it possible for children to keep their innocence. Roy dreads sending his children to public schools and discusses some of the problems facing parents and children today. Roy says that parents can choose the environment in which they will raise their children and that there is no need to turn their children over to popular culture.