I grew up in Germany. Europe is far more liberal than America. Even most conservative right-wing parties over there are to the left of the US Democrats on many issues. For example, it wouldn't occur to even the most right-wing party in Europe to oppose universal healthcare. But this isn't a book about politics. It's about sex and drugs. You know, the good stuff.
I saw a documentary about prostitution in Holland a few years ago, that said over there health insurance actually pays for monthly visits to a prostitute for the disabled, because they feel that sex is part of a healthy life, so unmarried disabled men have a right to have sex, even if it's with a paid prostitute. Pretty bizarre, huh? Can you imagine a US health insurance company picking up the bill for your romp in the hay with a hooker?
[Obamacare] was almost the perfect example of politics in the Bubble Era, where the time horizon for anyone with real power is always close to zero, long-term thinking is an alien concept, and even the most massive and ambitious undertakings are motivated entirely by short-term rewards. A radical reshaping of the entire economy, for two election cycles’ worth of campaign cash – that was what this bill meant. It sounds absurdly reductive to say so, but there’s no other explanation that makes any sense.
Eugenics has always been the escape valve of single payer socialized medicine. Havelock Ellis was writing about them as one and the same prior to the fin-de-siecle. Culling out of control population growth and the economic drain of the incurably sick has always been a part of socialized medicine.