Conservative elites had two options when Democrats began to adopt their policy ideas: Declare victory or declare war. Key figures like Gingrich could’ve stepped before the cameras and chortled about Democrats giving up on single payer and slinking towards conservative solutions. For Hillary Clinton to run in 2008 with Bob Dole’s health-care plan was an amazing moment in American politics. For Barack Obama to reverse himself on the individual mandate and embrace the Heritage Foundation’s approach to personal responsibility was further proof that Democrats had lost the war of ideas here. Republicans could have declared victory and, by engaging constructively, pushed the final product further toward their ideal.
They chose war instead. And that meant eradicating any trace of support for the policies they had come up with.
That effort was extraordinarily successful. Republicans quickly convinced themselves they had always been at war with Oceania — excuse me, the individual mandate. But plausible health-care plans are hard to come by. Even the plans that weren’t exactly like Obamacare were
too similar to Obamacare for comfort. And so, five years later, even leading Republicans haven’t really come by another one. There’s a gaping hole where the party’s health-care plan is supposed to go. Of course the public doesn’t trust Republicans on the issue. Republicans don’t even know what they’d do.
