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I wonder, if 20% of school-aged children in Texas did not have affordable access to schools, would you also be willing to say "I think Texas is doing poorly, but we should assume they are achieving other goals that matter more to them [i.e. the Texas "electorate"]"?

I don't mean this aggressively. I am totally on board with ensuring that population health goals do not drown out other important values. I am just skeptical that the values Texas elites (and that's what we're talking about here, no?) would invoke are values that could compete meaningfully with the values underlying the coverage provisions of ACA.

Bill Gardner

Good question. In fact, state wide health outcomes and educational outcomes correlate, so it's probable that Texan children are less likely to have affordable access to decent schools than, say, Minnesotan children. So your hypothesis is actually fact. It seems very clear that in education too, Texas sets policy with the goal of expressing a certain set of largely religious values, at the expense, I think of the well-being of their kids.
The thing is, the Texans are going to have to figure their own way out of this.
This is personal, really. I want to help move the needle on pediatric population health, and I would rather work in a community of people who share that goal. One option would be moving to a more civilized country. Alternatively, we could allow the states to evolve more independently, and vote with my feet to help the Vermonters, or whoever, care for their kids.


Before we toss up thew new health care law and start experimenting with the crazy Texas-type ideas, lets ignore all the political posturing for a moment and listen to the public:

Most Want to Keep or Expand Health Care Law
from Taegan Goddard

A new McClatchy-Marist poll finds a majority of Americans want Congress to keep the new health care law or even expand it, despite Republican claims that they have a mandate from the people to kill it.

Key findings: 51% of registered voters want to keep the law or change it to do more, while 44% want to change it to do less or repeal it altogether.

Said pollster Lee Miringoff: "On health care, there is a wide gap between public opinion and the political community."


some of us seem to have the goal _ provide health care to those who have the necessary income

Bill Gardner

I agree that the views of the public and those of the electorate are not the same thing. Unfortunately, the majority of Americans, who may support the health care act, did not show up to vote this time.

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