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Medicare-for-all is best seen as aspirational: it is shorthand for policy ideals and papers over political realities. With Republicans in control of Congress, there is obviously no immediate chance of Sanders's bill becoming law any time soon. But with Republicans and the President viewed as ineffectual in implementing their healthcare commitments and uncaring about voters' concerns, it is advantageous for Democrats to be seen to have solutions to the problems that confront their constituents.
There are many reform movements active in the Catholic Church. Most seem to focus on changing the structures and systems of the church, on reshaping doctrinal positions and updating teachings. Organisational reform is necessary and long overdue but there is also need for a complementary movement among ordinary Catholics.
Obamacare, although imperfect, was soundly constructed and thoughtfully implemented. It has withstood constitutional challenges and survived endless Congressional votes to repeal and amend it. Republicans talk only about its problems and the Trump Administration has worked hard to sabotage it further, but the fact is that Obamacare is not in a 'death spiral'. It is working surprisingly well.
Abortion seems to be an inherently insoluble moral and human rights conundrum. The ethical debate consists of grappling with many untenable positions. The best course may be to face this complexity rather than seek to reduce it to a final solution.
'The challenge to a Christian living in a largely Buddhist society has some similarities to the challenge to a Christian living in a society where the public square is largely the preserve of those who argue and agitate with a secularist mindset.' Fr Frank Brennan SJ's address to the gathering of church and NGO workers convened in Siem Reap by the Jesuit Refugee Cambodia on 12 May 2012.
The bishops intend a campaign of civil disobedience against aspects of the Obama Administration's health care plan. Many have been critical of this law on the ground that it might contribute to more abortions. The toxicity of the atmosphere should make us wary of adopting a similar campaign here.
Unlike the night of Obama's election, there was no cheering to be heard in the streets after the bill passed, no roars of joy, no celebrations. If there were any exclamations, they were probably sighs of relief.