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I'm not going to go into any general political statements, nor did I intend for my statement to be taken as one.
That area in particular is a disaster and I absolutely think the politics there contributes to it. The prioritization of the city council, mayors, county, and voters definitely at a minimum keeps putting fuel into the fire, although they were probably the spark and a good dose of accelerant as well.
I don't know if you are actually familiar with the area of reference. I suspect that if you were you might be a little less eager to assume my politics are about being liberal rather than a statement of the corruption and mismanagement.
I didn't assume your politics - you made it clear in your first post that you think that simply being willing to pay higher taxes would improve the healthcare system in the area in question. I also don't need to know anything about this specific area, because that strategy has never worked anywhere. Witness the current state of our healthcare system. More state and federal money spent on healthcare = higher healthcare costs. Notwithstanding the fact that at the county level - especially a rural, poor county - the money simply doesn't exist to make much impact.
Unfortunately, it is impossible to talk about healthcare economics without also talking politics, because with nearly 50% of all healthcare dollars spent coming from some sort of federal program, and with the insurance and hospital industries being absolutely strangled by federal regulation, the two things are practically synonymous these days. It is time people wake up and stop insisting that we double down on policies that very clearly don't work.