Optimist Economy
Optimist Economy
Kathryn Anne Edwards and Robin Rauzi
The Government is Already Paying for Your Health Insurance, Buddy
48 minutes Posted Jul 28, 2026 at 8:30 am.
Announcements
Retcon — Costco cashier's $33/hr job and career security
Terms & Conditions — Political economy, Cost Sharing, Gatekeeping
The Big Pilcrow: “Americare… Just Enough”
Healthcare vs. health insurance — why this is really an insurance/payer fight
We have 5+ public health programs already
Health economist Amy Finkelstein's research: "It's a tear-down, not a fixer-upper"
The proposed system — universal basic coverage + letting “rich people rich" without letting them opt out
What Americans would love or hate
This health world changed a lot since Obamacare
Executive Orders — Airport boarding pass warnings, living-roof bus stops
Spiritual Sponsors — Resurrection fern, Aunt Fern
Credits
0:00
48:19
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Show notes
About 18% of U.S. GDP every year gets spent on health care. Half of that, 9%, is coming from the government, which is about the whole cost of  other countries’ public health programs. In other words, for what the U.S. spends on Medicare, Medicaid, Tricare, VA benefits, and the tax write-off for employer-sponsored plans, we could have free basic health insurance for everyone. This is why the co-authors of the 2023 book “We’ve Got You Covered” describe the current health insurance system as a total tear-down. We could have universal insurance coverage for all with no tax hike if we started building from the ground up.
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