My wife and I did not have insurance when all three of our children were born. Technically, we did when our third was born, but the preexisting condition of pregnancy was not covered. Medical expenses were reasonable enough that we were able to make payments ahead and continue paying afterward. There were complications after the third birth, so it took us a while to pay off the debt, but we did manage to have our youngest paid for before she entered elementary school.
Doctors and hospitals are no longer so eager to make similar arrangements, and the total bills are no longer as manageable. An uninsured married couple facing a complicated childbirth could easily face bankruptcy today.
But we are no so hard-hearted as to turn expectant mothers out into the cold night to give birth in a stable. We do provide services for mothers and children. But our conservative heritage says men should be breadwinners, and there is no free lunch. We will take care of single women and their babies but not male heads of households. Perhaps there have been some recent changes, but for the last thirty years marriage meant financial disaster for a young couple in love facing a pregnancy earlier than they had anticipated.
It’s not just the young either who are forgoing marriage in order to receive benefits. Social Security advisors counsel retirees in some cases to “live in sin” rather than lose benefits they or their late spouse had earned. In other circumstances, on the other hand, they advise couples who hate each other to stay together (at least on paper) a few more years, for the sake of the social security check, rather than getting divorced. (You can find this advice in the book Get What’s Yours.)
All of this comes from the traditional idea that a man should provide for his household and nobody should get something for free.
Yet the widespread conservative hostility to democracy and representation in the workplace has undermined a man’s (or a single woman’s ) ability to provide for a family. Labor Unions are an extension of democracy (or republican ideals, if you can’t support democracy) into the workplace. Corporations are already organized and have most of the power. The only way people gained any advantage was to unite. President Eisenhower understood this. He supported labor unions and the right of the people to organize.
The last forty years has seen the decline of wages follow the decline of union membership. The decline of union membership followed the example of a president from the Grand Old Party who established his legacy by breaking a union. Today a candidate from an economically failing state brags that he took on the powerful teacher’s union.
Some people point to past corruption in labor and to violence that occurs during strikes. Corruption in politics has not lead us to abolish representative government. Instead we try our best to eliminate it, find it where it remains, and prosecute it. As for violence, do you know anything about the history of the labor movement?
I have seen the dismantling of the profession of professor over the last 30 years. Today 80% of college courses are taught be people who are not professors, many of whom are eligible for food stamps and other government benefits. One reason this happened is because professors were not allowed to organize, since they were part of management under the law. However, the other 80% today are not hindered by this law, and we may see more organizing by those who actually do the teaching.