We Are All Republicans, We Are All Federalists
What would it take to build healthcare Americans can live with? Denied insurance claims, a Medicaid paperwork failure, and the loss of rural hospital services lead to the same question: what is an arrangement worth if people do what it asks and it still fails them?
In this May 2026 essay, I argue for healthcare that protects both the judgment of patients and physicians and a floor against the illnesses nobody chooses. But a national system imposed by one political tribe can become the next permanent fight. Medicare, Jefferson’s first inaugural, and the Long Walls of Athens frame a case for…
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