The United States is on the doorstep of comprehensive health care reform. It's a staggering achievement, about which I'll have more to say later. But the under-appreciated thing that strikes me at the moment is that it never would have happened if the Republican Party had played its cards right.
At the outset of this debate, moderate Democrats were desperate for a bipartisan bill. They were willing to do almost anything to get it, including negotiate fruitlessly for months on end. We can't know for sure, but Democrats appeared willing to make enormous substantive concessions to win the assent of even a few Republicans. A few GOP defectors could have lured a chunk of Democrats to sign something far more limited than what President Obama is going to sign. And remember, it would have taken only one Democrat to agree to partial reform in order to kill comprehensive reform. I can easily imagine a scenario where Ben Nelson refused to vote for anything larger than, say, a $400 billion bill that Chuck Grassley and a couple other Republicans were offering.
But Republicans wouldn't make that deal. The GOP leadership put immense pressure on all its members to withhold consent from any health care bill. The strategy had some logic to it: If all 40 Republicans voted no, then Democrats would need 60 votes to succeed, a monumentally difficult task. And if they did succeed, the bill would be seen as partisan and therefore too liberal, too big government. The spasm of anti-government activism over the summer helped lock the GOP into this strategy -- no Republican could afford to risk the wrath of Tea Partiers convinced that any reform signed by Obama equaled socialism and death panels.
The Republicans eschewed a halfway compromise and put all their chips on an all or nothing campaign to defeat health care and Obama's presidency. It was an audacious gamble. They lost. In the end, they'll walk away with nothing. The Republicans may gain some more seats in 2010 by their total obstruction, but the substantive policy defeat they've been dealt will last for decades.
Saturday, December 19, 2009
Again, some better-known, more talented writer anticipates yours truly. Here's Jonathan Chait on the Republicans' healthcare blunder:
As I noted just over a week ago, I made this exact point back in October, two months before David Frum and Jonathan Chait got around to it. Just sayin'.
Posted by N. at 7:24 PM