The Medical is Political
Why will Republicans in D.C. do everything in their power to stop health care reform? Hint: It’s about politics, not policy
I just laid my hands on a revealing memo on President Obama’s current effort to reform health care. It was written just a few months ago by a senior, very influential conservative operative. He calls on Republicans in D.C. to go to the mattresses to stop Obama’s health care reform ideas. Why? Not because health care reform, as proposed by the Democrats, will turn out to be a disaster, or unpopular with the American people. Just the opposite: Republicans need to stop health care reform because it will succeed, and in the long run will re-cement the allegiance of the middle class to the Democratic Party.
Here are some excerpts from what this influential conservative wrote (I have taken the liberty of bolding the most important lines):
“The president will lobby intensively for his plan. It will surely be the central theme of his State of the Union Address in January. Health care reform remains popular in principle. And the Democratic Party has the votes…
“Any Republican urge to negotiate a ‘least bad’ compromise with the Democrats, and thereby gain momentary public credit for helping the president ‘do something’ about health care, should also be resisted. Passage of the Obama health care plan, in any form, would guarantee and likely make permanent an unprecedented federal intrusion into and disruption of the American economy–and the establishment of the largest federal entitlement program since Social Security. Its success would signal a rebirth of centralized welfare-state policy at the very moment we have begun rolling back that idea in other areas…
“But the Obama proposal is also a serious political threat to the Republican Party. Republicans must therefore clearly understand the political strategy implicit in the Obama plan–and then adopt an aggressive and uncompromising counterstrategy designed to delegitimize the proposal and defeat its partisan purpose…
“If an Obama health care plan succeeds without principled Republican opposition… its passage in the short run will do nothing to hurt (and everything to help) Democratic electoral prospects in 2012. But the long-term political effects of a successful Obama health care bill will be even worse–much worse. It will relegitimize middle-class dependence for “security” on government spending and regulation. It will revive the reputation of the party that spends and regulates, the Democrats, as the generous protector of middle-class interests. And it will at the same time strike a punishing blow against Republican claims to defend the middle class by restraining government.”
It’s revealing stuff: We better stop health care reform because, if the Democrats pass it, the middle class is going to like it, and our anti-government ideology will be discredited. I couldn’t agree more.
Okay, now that you’ve read the above, I have to confess to a lie. The above excerpt is authentic, except for the fact that I have changed the word “Clinton” to “Obama” and “1996” to “2012.”The excerpts above come from a famous – perhaps infamous – call to arms written by conservative operative Bill Kristol in 1993 when Bill and Hillary were pushing their failed effort to reform health care.









