One of the biggest problems with politics is superstition. Every time a candidate wins, their campaign strategists are treated as having conjured up a magical creature known as victory out of thin air. They are treated thusly by the party they won for, but also largely by the media. They pushed the right button combination, they cut the right wire, they made the thing happen. Never mind all the factors outside of their control, the flukes, the weather. They get credit without any definitive evidence that they even knew what they were doing.
But that’s not the whole of superstition in politics. It extends to all sorts of frets and worries that interrupt policy and legislation. The NRA has a monkey’s paw that will unleash torment upon Republicans if they don’t fall in line. Rich criminals like Weinstein and Epstein were insulated from accountability (again, in both the media and in political circles) by superstition, primarily. The worry about what it would mean to the unknown backwaters and backrooms of power to cross people who are the equivalent of made-men in those circles.
Superstition dictates that Republicans can’t compete in blue states, nor Democrats in red ones. They certainly shouldn’t treat those foreign lands as opportunities to throw some spaghetti at the wall on the cheap. I mean, it would be bad luck to run a Republican candidate in LA on the platform of (insert some idea that Republicans generally don’t run on but won’t be offensive).
The media similarly has its superstitions around politics, including what kind of coverage is expected, what polls really mean, which voters count more (evangelicals, soccer moms, NASCAR dads, etc.), who gets access, what the differences are between Republicans and Democrats, and so on. It has its superstitions about who is important and what ideas are important. Campaigns should be about identifying problems, but they’re mostly about offering canned solutions to undefined problems, and then the solutions become the focus and they aren’t perfect so candidates get tarred for that.
The problem of superstitions is quite extensive in our lives. They represent blockages that prevent honest progress, out of fear of the unknown. The media’s focus on the ten-year-cost of Medicare-for-All, despite the actual ongoing economic cost already being greater, is one example of this. The Republicans’ reluctance to give up on repealing the ACA, in favor of some real policy is another.
These superstitions exist because of mere coincidence. The apparent interest in Republicans around the time they championed repealing the ACA caused them to believe that people wanted repeal, rather than the people wanting further development of healthcare policy toward some unknown better system. The media believes then ten-year costs of Medicare-for-All are important because they believe big numbers are important.
I don’t think Medicare-for-All is the be-all-end-all of healthcare. It is one way to do the thing. But I do think that continuing to refine healthcare funding is entirely necessary, and systems that tend to diminish the involvement of employers in healthcare are generally superior to those that do not. Over a ten year period where healthcare isn’t provided by employers, ceteris paribus, we should expect a healthier economy and a healthier population.