Two days ago, Matt Yglesias pulled the pin on a rofl grenade, and yesterday he basked in the lulzplosion. Yet I think it’s worth addressing exactly why it is conservatives have a deep, emotional attachment to doctors – and vice-versa. Indeed, 16 of the 19 doctors in Congress are Republicans.

First, they tend to be old, white, and male.

Second, they tend to be rich.

But even beyond that, there’s lots of strong, deeply-rooted reasons conservatives gravitate towards doctors as vectors for identity politics. They work extremely hard. They are often small business owners or independent proprietors. They are seen (and perpetuate the image of themselves) as beseiged by regulation and government intrusion. They spend many years working extremely hard for little immediate reward, only to be richly rewarded later, a sequencing that matches conservatives views about the virtue of patience, saving, and hard work. And they also do good while still getting rich from doing good and they’re extremely popular which makes them vastly better symbols than CEOs or financiers or even, in some ways, the military, since even though the military is general respected and popular it is also fairly-widely associated with aggression, violence, discriminatory practices, and other negative characteristics that many would avoid.

So suggesting that doctors are actually rent-seekers supping on government cheese served on government silver while drinking fine wine out of government crystal really touches a nerve.

To relate this to another hobby horse of both myself and Yglesias, it’s similar to the reasons conservatives tend to have a giant blind spot around urban land use issues. Essentially, all the identity politics orbit the image of a person in their own, large, private home, being in their own large, private vehicle, owning their own land, away from cities filled with miscreants and students and criminals and socialists and various sundry unwashed masses. That this lifestyle is supported by exactly the kinds of burdensome, costly, stifling regulation they claim to oppose sets off a surprisingly rabid reaction.

Of course, there’s also tremendous cognitive dissonance among conservatives around the very idea that conservatives practice any kind of identity politics, so even brushing that raw patch elicts yowls.

Of course, this could all be changing. Nothing persists but change.

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