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Should Republicans Have Compromised to Produce a Less-Bad Healthcare Bill?
Cato Institute ^ | January 2, 2010 | Daniel J. Mitchell

Posted on 01/03/2010 8:55:36 PM PST by Delacon

Writing for Forbes, Bruce Bartlett puts forth an interesting hypothesis that healthcare legislation could have been made better (hopefully he meant to write “less destructive”) if the GOP had been willing to compromise with Democrats:

Democrats desperately wanted a bipartisan bill and would have given a lot to get a few Republicans on board. This undoubtedly would have led to enactment of a better health bill than the one we are likely to get. But Republicans never put forward an alternative health proposal. Instead, they took the position that our current health system is perfect just as it is.

Bruce makes several compelling points in the article, especially when he notes that it will be virtually impossible to repeal a bad bill after 2010 or 2012, but there are good reasons to disagree with his analysis. First, he is wrong in stating that Republicans were united against any compromise. Several GOP senators spent months trying to negotiate something less objectionable, but those discussions were futile. Also, I’m not sure it’s correct to assert Republicans took a “the current system is perfect” position. They may not have offered a full alternative (they did have a few good reforms such as allowing the purchase of insurance across state lines), but their main message was that the Democrats were going to make the current system worse. Strikes me as a perfectly reasonable position, one that I imagine Bruce shares.

Let’s explore Bruce’s core hypothesis: Would compromise have generated a better bill? It’s possible, to be sure, but there are also several reasons why that approach may have backfired:

1. It’s not clear a policy of compromise would have produced a less-objectionable bill. Would Senate Democrats have made more concessions to Grassley and Snowe rather than Lieberman and Nelson (much less whether the “concessions” would have been good policy)? And even if Reid made some significant (and positive) concessions, is there any reason to think those reforms would have survived a conference committee with the House? Yet the compromising Republicans probably would have felt invested in the process and obliged to support the final bill — even if the conference committee produced something worse than the original Senate Democrat proposal.

2. A take-no-prisoners strategy may be high risk, but it can produce high rewards. In the early 1990s, the Republicans took a no-compromise position when fighting Bill Clinton’s health plan (aka, Hillarycare), and that strategy was ultimately successful. We still don’t know the final result of this battle (much less how events would have transpired with a different strategy), but if the long-term goal is to minimize government expansion, a no-compromise approach is perfectly reasonable.

3. A principled opposition to government-run healthcare will help win other fights. The Democrats ultimately may win the healthcare battle, but the leadership will have been forced to spend lots of time and energy, and also use up lots of political chits. Does anyone now think they can pass a “climate change” bill? The answer, almost certainly, is no.

4. A principled approach can be good politics, which can eventually lead to good policy. Democrats wanted a few Republicans on board in part to help give them political cover. The aura of bipartisanship would have given Democrats a good talking point for the 2010 elections (”My opponent is being unreasonable since even X Republicans also supported the legislation”). That fig leaf does not exist now, which makes it more likely that Democrats will pay a heavy price during the midterm elections. It is impossible to know whether 2010 will be a 1994-style rout or whether the newly-elected Republicans will quickly morph into Bush-style big-government conservatives (who often do more damage to liberty than Democrats), but at least there is a reasonable likelihood of more pro-liberty lawmakers.

When all is said and done, Bruce’s strategy is not necessarily wrong, but it does guarantee defeat. Government gets bigger and freedom diminishes. For reasons of principle and practicality, Republicans should do the right thing.


TOPICS: Editorial; Government; Politics/Elections
KEYWORDS: 111th; bhohealthcare; cato; congress; gop; gophealthcare; healthcare; obamacare; republicans; rlccaucus; rlclibertycaucus
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To: the long march

I am stupid. You are taking about Corrigdore and Baatan.


81 posted on 01/03/2010 11:05:54 PM PST by Delacon ("The urge to save humanity is almost always a false front for the urge to rule." H. L. Mencken)
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To: the long march

You are Navajo. You gotta admit I was close.


82 posted on 01/03/2010 11:12:46 PM PST by Delacon ("The urge to save humanity is almost always a false front for the urge to rule." H. L. Mencken)
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To: Delacon

“Should Republicans Have Compromised to Produce a Less-Bad Healthcare Bill?”

No, because then the big, fat government version might not have passed.

The Republicans obviously want the Dems plan just as badly, judging by their twinkle-toes “resistance” to it.


83 posted on 01/03/2010 11:46:21 PM PST by Boucheau
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To: Boucheau

Once you have bought into big goverment and you have power and get paid by that big government, then everything else is easy once you convince the powerless that they need you and that you are the only game in town.


84 posted on 01/04/2010 12:29:28 AM PST by Delacon ("The urge to save humanity is almost always a false front for the urge to rule." H. L. Mencken)
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To: Delacon

Not the Trail of Tears. The Long March or The Long Walk is the plight if the Navaho as the Dine were herded to other areas


85 posted on 01/04/2010 3:57:17 AM PST by the long march
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To: Delacon

You were very close. I had a teacher who served on Corrigedor. What a wonderful man he was


86 posted on 01/04/2010 3:58:19 AM PST by the long march
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To: Delacon

In terms of strategy the GOP did not do too bad with this bill: they offered an outline of a reform that respected the free market approach and stopped there. The premise of Bruce Bartlett is incorrect that they offered no alternative.

The author is correct that a compromise with the Dems would have been far worse. In fact, the bill as it is is already a compromise between various factions of the left.

One thing the GOP could have done better: they should have offered an alternative that is easy to understand and strikes at the heart of the problem: they should have given the same tax exemption the corporatons enjoy, to individuals as they purchase health care or health care insurance. That would have made all citizens who are now a third party to health care transactions, into consumers of health care. That would have been a principled, simple and radical position, exactly what a minority party should be adopting strategically.


87 posted on 01/04/2010 5:33:25 AM PST by annalex (http://www.catecheticsonline.com/CatenaAurea.php)
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To: Delacon
...That fig leaf does not exist now, which makes it more likely that Democrats will pay a heavy price during the midterm elections.

Please, let it be true...

88 posted on 01/04/2010 7:34:33 AM PST by MaggieCarta (We're all Detroiters, now.)
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To: Delacon
Two word, no four words, H... NO, KILL IT!

Send it to the pits of Hades where it will never see the light of day again.

89 posted on 01/04/2010 7:55:21 AM PST by GailA (obamacare paid for by cuts and taxes on the most vulnerable the disabled, seniors and Veterans)
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To: Mamzelle

Mmmmmmm........a loving couple (/snix).


90 posted on 01/04/2010 8:54:42 AM PST by Liz
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To: Delacon

BS, the dems did this on their own. Obama said, he didnt want input from the people who made the mess. he was talking about republicans even though they were not fully responsible.

The dems shut republicans right out. This article should point that out in the first paragraph.


91 posted on 01/05/2010 10:51:27 AM PST by Munz (All tyranny needs to gain a foothold is for people of good conscience to remain silent.)
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