Once again the Republicans have found themselves in the peculiar position of possessing total control of the elected branches of the federal government, yet unable to act on one of their longstanding dreams: not just slowly destroying Medicaid, a federal program that guarantees healthcare to millions of poorer people, but also forcing people to rely upon the free market for their healthcare.
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But that only begs the question: why haven’t the Republican free-market fanatics mobilized their base in support of the bill? Why aren’t they flooding the Senate with phone calls in favor of making people fend for themselves in the healthcare insurance market? Where’s the passion for the market, the hostility to the welfare state, that has so defined the conservative cause since the New Deal?
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The problem, in other words, may not be the personnel. It may be the principles. Unlike Reagan, today’s Republican is no longer warmed in the same way by the burning belief that anything the state does in the realm of social welfare is automatically bad.