But these are chronic conditions, and even many of us who argue for universal health coverage have grown inured to that distinctly American indifference to the common good, to our radical lack of solidarity with our fellow citizens. Besides, the poor generally have the decency to die discreetly, and discretely -- not conspicuously, not in droves. Come rain or come shine, we leave millions of beleaguered Americans to fend for themselves on a daily basis. It's just a lot more noticeable in a horrific rain, and when the ordinary lack of access to medical care is augmented by an extraordinary lack of access to emergency services.
Even if we'll never win the national-greatness sweepstakes for solidarity, though, we've long been the model of the world in matters infrastructural, in roads, bridges and dams and the like. But the America in which Eisenhower the Good decreed the construction of the interstate highway system now seems a far-off land in which even conservatives believed in public expenditures for the public good. The radical-capitalist conservatives of the past quarter-century not only haven't supported the public expenditures, they don't even believe there is such a thing as the public good. Let the Dutch build their dikes through some socialistic scheme of taxing and spending; that isn't the American way.