First a disclaimer: I’m not personally supporting this, but I can give you some examples where this could potentially be happening in the health care plan.
The Cloward-Piven strategy has come to mean something less than the utter collapse of society, to be rebuilt on socialist lines. I’ve seen it used to refer to any scheme to enact change through the back door by manipulating legislation to force a crisis.
Here’s the conspiracy theory in the health care plan: It appears that the individual mandate requirement is flawed for several reasons. For one, the legislation appears to make it impossible to actually punish anyone who doesn’t pay their fine for not carrying health insurance. This seems tailor-made to result in a lot of people not paying their fees, which could turn into a giant mess a la the immigration problem. What do you do when 20 million people are delinquent in payments? Do you go back and arrest them all? Confiscate their incomes? Or does the problem become so big that you simply can’t do it?
The second and related problem is that it appears that the penalties for non-compliance are much smaller than the economic benefit of non-compliance. If insurance costs you $5,000 per year, and the penalty for not having it is $695, and if the no pre-existing conditions clause means you can’t be refused insurance no matter when you demand it, then it looks like the system has been intentionally set up to be unstable.
A bigger problem is that there also appears to be a huge imbalance between employer subsidies and personal subsidies. So big that there will be great incentive for workers with employer-sponsored plans to renegotiate for higher salaries in lieu of health care benefits, then use part of the money to buy insurance from the health exchanges and pocket the rest.
If these things are all true, then the result would that the exchanges would be more expensive per person because the pool will have higher risk than it would if the healthy didn’t sit out and pay their penalties, and the government’s cost for subsidies will be much larger than anticipated because of the flood of people out of the relatively unsubsidized employer insurance market into the heavily subsidized health exchanges.
The result would be either a complete fiscal meltdown, or the government would have to heavily fund the exchanges and raise taxes much higher to pay for it.
The end result: Everyone winds up in the health exchange, which are almost completely government funded. Everyone pays higher tax to maintain the program. And voila, you have single payer health care, with the insurance companies reduced to nothing more than public utility status - they become the administrators of the program on behalf of the government.
So the Cloward-Piven strategy would be this: Because you can’t get the country to agree to single payer, you put together a plan that is more palatable, but hidden inside it are imbalances that cause it to collapse into a de-facto single payer system anyway.
Like I said, I don’t know that I buy this myself. I generally believe the maxim that you’re more likely to be correct by assuming idiocy instead of malice.