San Francisco Values

Common Ground for Getting America Back on Track

Rick Kaplowitz, Geri Spieler

• Publisher: Palmetto Publishing Group
• Year: 2020
• Edition: 1
• eBook ISBN:
  9781641119603
• Topic: Politics & International Relations
• Subtopic: Conservatism & Liberalism
• Index: Politics & International Relations

CHAPTER 1

America's Real Values

The U.S. refugee and asylee population paid $63 billion more in taxes than they received in benefits to all levels of government from 2005 to 2014.

— U.S Department of Health and Human Services

The overriding impact of immigrants is to strengthen and enrich American culture, increase the total output of the economy, and raise the standard of living of American citizens.

— David Bier and Alex Nowrasteh, Cato Institute

Embracing cultural distance, cultural-distance nationalism, means, in effect, taking the position that our country will be better off with more whites and fewer non-whites.

— Amy Wax, University of Penn Law School Professor; Graduate of Yale, Harvard Medical School, and Columbia Law School

Values are a society's collective ideas of right and wrong, good and bad, desirable and undesirable behaviors.

Values can be descriptive, simply telling what is, or aspirational, reflecting who we want to be.

The documents that our Founding Fathers drafted and adopted in forming our government included many compromises, mostly bridging conservative and liberal positions and beliefs.

At this point, 230 years later, we see more of a partisan distribution, where common ground has become much harder to find.

Stereotypes have the effect of widening the divide. Claiming that sanctuary cities love terrorists, or that all Republicans love assault rifles, is clearly inaccurate. Further, they make dialog, and the search for common ground, much more difficult to reach.

The three quotations above show that unanticipated perspectives can be found across that divide. The conservative Cato Institute affirmed the valuable contributions of immigrants, while a white nationalist position is espoused by an Ivy League university faculty member.

Briefly exploring three pairs of conflicting American values can illustrate and help us examine some of the complexities of who we have been, who we are now, and who we want to be. These are:

• Personal achievement and Humanitarianism
• Equality and Race
• Religious faith and Individual freedom

Personal Achievement and Humanitarianism

During his eight years in office, beginning in January 2011, Republican Representative Sean Duffy, of Wisconsin's large, rural 7th Congressional District, voted repeatedly to destroy Obamacare. He also voted for a 2017 bill that would have made insurance coverage less available and/or more expensive for those with pre-existing conditions and voted against the Protecting Americans with Preexisting Conditions Act of 2019.

In September 2019, Duffy announced that he was going to retire from Congress, and that part of his planning was to make sure that his family had coverage for his about-to-be-born daughter's anticipated open-heart surgery — that is, they will have and use medical insurance coverage, insurance that covers preexisting conditions, which is available to him and his family because of Obamacare.

Duffy grew happy to lean on the safety net offered by a [liberally sponsored] government program in order to get the help that he, or any other family, might need when encountering conditions beyond their personal control. That's a more constructive way to look at what could otherwise simply be dismissed as hypocrisy.

Reaching for the American Dream

The American Dream has been described as the opportunity for personal achievement that enables people to move above the economic level they were born into. Success that is based on one's efforts, rather than on rank or riches of family, is strongly valued by conservatives. And it's respected by liberals.

A larger structure often needs to be in place for such personal successes to be possible, as, for example, the truck driver who needs and uses the roads built by the government in order to build and sustain a successful trucking company.

A child may be born with a disease that require resources beyond those available to most families. Having the resources of a collective governmental program that cares for those who are not able to care for themselves is important to liberals. And it's drawn upon by conservatives.

Some suggest that such aid can be abused by those not willing to do their own hard work. Some others will point out that, while some at the lower end of the spectrum may cheat by hiding a bit of income in order to qualify for assistance, the major fraud cases are those in which members of the medical community lie via phantom and fraudulent billing in order to collect millions of dollars for non-provided medical services.

An apocryphal tale has two parts that highlight some of the fallacies of each position if taken to an extreme:

A man is drowning 50 feet from the end of a dock.

A conservative rescuer on the dock sees the man and calls out: “I have 25 feet of rope here. You need to swim the first 25 feet on your own, and then I'll throw you the rope for the rest of the way.”

[Liberals may be heard laughing here.]

A liberal rescuer on the dock sees the same drowning man and generously throws 75 feet of rope out to him. Then the rescuer drops his end of the rope and goes off to see who else he can help.

[Conservatives may be heard laughing here.]

Perhaps we can all find a more balanced perspective in Georgia's state motto: “Wisdom, justice, and moderation.”

A Healthy Nation

The San Francisco Bay Area values entrepreneurs, people like Steve Jobs, who built their fortunes based on their own wisdom and hard work. (These values are reflected in depth in chapter 3, which discusses how the Bay Area business environment effectively supports innovation and growth.)

San Francisco also values the social safety net that is there to help those in our society who are not able to make it on their own. In the medical arena, for example, San Francisco is committed to health care access for all residents. “Healthy San Francisco” became the first municipal American government program designed to provide health insurance for all of its residents. Started in 2007, it operates for those San Francisco residents age 18 or older with income up to 500% of the federal poverty level who are uninsured and ineligible for Medi-Cal or Medicare.

Similarly, at the state level, Massachusetts passed legislation in 2006 providing medical insurance to almost all of its state's residents. The program, signed by Republican Governor Mitt Romney, served in large part as a model for the 2010 national Affordable Care Act (ACA), signed by Democratic President Barack Obama.

The ACA, commonly referred to as “Obamacare,” was guided to passage by San Francisco representative and Speaker of the House Nancy Pelosi. It was passed to make coverage for medical costs available to those who did not have such coverage through their employment or similar insurance programs. In addition to enabling medical insurance coverage for some 20 million previously uninsured Americans, it provided coverage for pre-existing conditions, improved coverage of prescription costs for those on Medicare, and allowed children to remain on their parents' medical insurance to age 26.

As Republicans continue to try to dismantle Obamacare, it might help them reconsider that position to know that 68% of the country, most likely including Sean Duffy, wants protection against losing insurance because of pre-existing conditions.

And the number of people who lost their medical insurance as a result of coronavirus layoffs may convince some people to consider more favorably a medical care system that covers all of us, rather than one that is heavily dependent on medical insurance coverage that comes as an employment benefit.

Obamacare was designed as part of the safety net to make insurance for medical care available to all citizens. The implementation of the ACA became highly politicized, with “red” Republican-leaning states choosing to oppose the act and not implement the expanded Medicare option, and “blue” Democratic-leaning states moving forward to make it available to their citizens.

Missouri has been a political swing state throughout the 20th and into the 21st century. Its state motto is “Let the welfare of the people be the supreme law.” While 57% of eligible and previously uninsured residents in Missouri did enroll for medical insurance under the ACA, the Missouri legislature, which has been heavily Republican since 2001, has not opted to take advantage of the ACA opportunity to expand Medicaid. Therefore, about 23% of potentially eligible uninsured residents fall into a so-called “coverage gap.” This means that they make too much to qualify for Medicaid, but too little to qualify for income-based subsides to buy coverage on the ACA's Healthcare.gov, the federal exchange for individual plans.

Does this approach help provide for “the welfare of the people” of Missouri?

The ACA, including the enhanced Medicaid option, has proven its value. In September 2019, JAMA: The Journal of the American Medical Association reported:

An increasing number of studies have provided rigorous evidence that Medicaid expansion, which has increased the number of Medicaid recipients by more than 10 million since 2013, has been associated with improved health of low-income US residents in various ways, including self-reported health, acute and chronic disease outcomes, and mortality reductions.

It would appear that those state governments that chose to adopt the ACA's opportunity to expand Medicaid did, indeed, provide more adequately for the welfare of their citizens than Missouri and other non-participating states.

Race and Equality

The Declaration of Independence of the United States was ratified on July 4, 1776. It begins with this phrase: “We hold these truths to be self-evident, that all men are created equal.”

Many of the men who signed that statement were themselves slave owners. This contradiction between actuality and aspirations may be ascribed to hypocrisy, to a societally ingrained belief that dark-skinned Africans were less human, or to a simple reflection of the reality of that era. In any event, it clearly delineates that not all were seen or treated as equals…not in 1776, and still not in the United States today.

The Articles of Confederation, the first governing document for the confederated states, was created on November 15, 1777, and ratified on March 1, 1781. Article IV stated that “the free inhabitants of each of these states, paupers, vagabonds and fugitives from justice excepted…shall be entitled to all privileges and immunities of free citizens in the several states.”

On September 17, 1787, the Constitution of the United States was approved to replace the Articles of Confederation, and it was ratified by the necessary nine of thirteen states by June 21, 1788. Article I, section II, read that when we counted the people in each state, the count was to “be determined by adding to the whole Number of free Persons, including those bound to Service for a Term of Years, and excluding Indians not taxed, three-fifths of all other Persons.” A dark-skinned person was thereby counted as three-fifths of a white person.

Voting rights evolved over the years. At first, each state was able to determine its own voters. Those voters were generally white male landowners or white men with equivalent personal property. Free Negroes were initially allowed to vote in several northern states, but those rights wer...

Table of contents

• Cover
• Title
• Copyright
• Contents
• Introduction
• Chapter 1 America's Real Values
• Chapter 2 The Evolution of Values, San Francisco 
Style
• Chapter 3 Why San Francisco Leads the Nation in Innovation
• Chapter 4 How San Francisco Celebrates Love and Families in All Their Diversity
• Chapter 5 San Francisco Supports Our Troops
• Chapter 6 San Francisco Cares about Health Care and Personal Choice
• Chapter 7 San Francisco Supports Diversity and Immigration Reform
• Chapter 8 San Francisco Isn't Perfect: Addressing 
Our Problems
• Chapter 9 San Francisco's Political Voices
• The Authors