David Brooks: The March to Centralization

David Brooks is a columnist for the NYT.

...American history can be seen as a series of centralizing events — the Civil War, World Wars I and II, the Progressive Era, the New Deal and the Great Society.

Many liberals have tended to look at this centralizing process as synonymous with modernization — as inevitable and proper. As problems like inequality get bigger, government has to become more centralized to deal with them. As corporations grow, government has to grow to counterbalance them.

Many conservatives have looked at these inexorable steps toward centralization with growing alarm. Complicated problems, many have argued, are best addressed by local people on the ground. Centralized government inevitably leads to oligarchic government. The virtue of the citizenry depends on local control, personal initiative and intimate connections. These things are being bleached away.

The Obama health care law represents another crucial moment in the move toward centralization. With its state insurance exchanges, Obamacare is not as centralized as a single-payer system. Still, it centralizes authority in at least four ways....