Why conservatives oppose universal healthcare

In a recent issue of National Review, Ramesh Ponnuru and Rich Lowry explained how Republicans can avert electoral disaster and get back on track. Conservative writers offer advice columns like these periodically, but this one included a concession we usually don’t see in print.

The plain truth is that the [Republican] party faces a cataclysm, a rout that would give Democrats control of the White House and enhanced majorities in the House and the Senate. That defeat would, in turn, guarantee the confirmation of a couple of young, liberal Supreme Court nominees, putting the goal of moving the Court in a more constitutionalist direction out of reach for another generation. It would probably also mean a national health-insurance program that would irrevocably expand government involvement in the economy and American life, and itself make voters less likely to turn toward conservatism in the future. (emphasis added)

This apparently, is the principal fear. Not just that Democrats will win, but also that they’ll implement a policy agenda. And it’s not just that the agenda is liberal, it’s that the agenda will discourage Americans from embracing a conservative agenda in the future.

Paul Krugman, responding to the Ponnuru/Lowry piece, noted:

I think that sentence contains a grim truth for progressives: the right will fight any health reform tooth and nail. They believe — and so do I — that the implications of universal coverage would extend far beyond health care, that it would revitalize the New Deal idea. And so they’ll do anything to stop it.

This isn’t an entirely new point, but it’s worth rehashing once in a while: the right will resist universal healthcare with all its might because, as a matter of electoral strategy, conservatives don’t have a choice.

It’s largely faded from the political world’s memory, but I’d argue the most important moment in the debate over the Clinton healthcare plan in the early 1990s came when Bill Kristol distributed a memo to congressional Republicans — exactly 14 years ago yesterday.

Leading conservative operative William Kristol privately circulates a strategy document to Republicans in Congress. Kristol writes that congressional Republicans should work to “kill” — not amend — the Clinton plan because it presents a real danger to the Republican future: Its passage will give the Democrats a lock on the crucial middle-class vote and revive the reputation of the party. Nearly a full year before Republicans will unite behind the “Contract With America,” Kristol has provided the rationale and the steel for them to achieve their aims of winning control of Congress and becoming America’s majority party. Killing health care will serve both ends. The timing of the memo dovetails with a growing private consensus among Republicans that all-out opposition to the Clinton plan is in their best political interest. (emphasis added)

It wasn’t about the quality of the policy, necessarily; it was about political survival. If Dems could deliver on a universal, national healthcare system, Dems would be positioned to win over a generation of voters. Killing the bill undermined the needs of millions, but it also meant blocking Dems from a historic victory.

As far as the Republican Party and its allied hacks like Kristol were concerned, the choice was obvious.

And it still is. If a Democratic president and a Democratic Congress can finish what Bill Clinton started in 1993, Ponnuru and Lowry said, Americans will be “discouraged…from embracing a conservative agenda in the future.” If that means tens of millions of Americans without access to healthcare, so be it.

We saw a helpful reminder of this during the S-CHIP debate over the summer.

[W]hy should Mr. Bush fear that insuring uninsured children would lead to a further “federalization” of health care, even though nothing like that is actually in either the Senate plan or the House plan? It’s not because he thinks the plans wouldn’t work. It’s because he’s afraid that they would. That is, he fears that voters, having seen how the government can help children, would ask why it can’t do the same for adults.

And there you have the core of Mr. Bush’s philosophy. He wants the public to believe that government is always the problem, never the solution. But it’s hard to convince people that government is always bad when they see it doing good things. So his philosophy says that the government must be prevented from solving problems, even if it can. In fact, the more good a proposed government program would do, the more fiercely it must be opposed.

As Brian Beutler added, “The fear for conservatives is that it’ll work so well that people will begin to realize that it might be worth paying for broader reforms with broader taxes, and so would blossom a vastly improved health care system in this country at the expense of a few very powerful interests.”

And we really can’t have that.

Yes, this is the key policy battle for the next Democratic president.

It’s 99 percent certain that Republicans will retain enough votes in the Senate to be able to block legislation. If the Kristol Doctrine–“what’s good for America is bad for the Republican Party”–still obtains in the 111th Congress, as I think it will, the question then becomes how a Democratic President wins the fight and gets those 6 to 10 Republican Senators to go along.

Basically this is an exercise in leadership and persuasion–convincing the constituents of those Republicans, both grass-roots voters and (probably more important) the business community to support universal health care, and leveraging that popular and elite support such to make it politically unbearable for the individual Senators to oppose the measure.

Then the question becomes what Democrat will most be able to move popular and elite opinion and, essentially, win the argument. Who is able to change peoples’ minds, or at least convince them that the political cost of obstruction will be unbearably high?

You see where I’m going with this.

  • Wow, I always thought Kristol was a sleazeball, but now I’ll upgrade him to a piece of shit sleazeball.

    “The ends justify the means”, I thought that was something you only found in authoritarian states.

  • The point is that entitlement programs are relatively easy to implement but almost impossible to face out. It is an empirical issue, even Kristol and Krugman would agree on that.

  • Do any of you know anyone who doesn’t want health care to be guaranteed? The Republicans are right to be afraid.

  • I wish Ponnuru and Lowry (and Kristol) would just quantify it and let us know in so many words: how many Americans are they willing to kill in order to protect the political appeal of conservatism?

    Because obstructing universal health care, and depriving “tens of millions of Americans” of health insurance, sure as hell kills a non-trivial number of Americans.

  • The thing I love about this is that Gingrich fought Hillary care tooth and nail, later admitted that it was purely political because they couldn’t allow Dems the win, met with Hillary in the past few years and agreed that health reform was needed, and is now back to demonizing it again.

    Lesson: with reThugs, it is always about preserving and expanding power. It’s never about what is right for the American people.

  • Good post, good points from Krugman and you.

    But, Dajafi: didn’t CB write something yesterday about the possibility of us picking up seats in the Senate?

  • if the entire basis for everything you’ve done and said for the past 40+ years is “government is evil, government is inept, government is… is… is…”, then you can’t possibly let any government program (let alone health care) succeed because you will have negated your very reason for existence.

  • As long as the wingnuts continue to throw around words like “socialism” or “communism” in the context of discussions regarding a federal health care program, I think it appropriate to use the best descriptive term I know of to describe the opposition to it: “backward”. As in, the US is the only industrialized democracy in the world that doesn’t have a federal health plan. Given the nature of a program such as this, one that would rival Medicare/Medicaid in complexity and cost, you would think the Replublican’s supporters in the corporate community would be thrilled with the idea of being freed from the cost of providing health care benefits to employees as part of the compensation package, a benefit that is rapidly becoming anything but as many companies now require part of the cost of the health plan to be paid by the employee thus reducing the compensation but not increasing the value of the benefit.

  • here’s what strange about this line of thought: throughout europe, including in thatcher’s england and sarkozy’s france, universal healthcare not only exists, it isn’t going to be rolled back. and yet conservatives still win elections.

    so it’s not just that they are afraid of the public seeing government doing good: it’s that their notion of what constitutes “conservative” approaches is so rooted in sloganeering that they’ve lost the ability to think.

  • What would a conservative Republican utopia look like? Except for their permanent hold on power, what kind of America do they want?

    Are they simply greedy, evil bastards? Is that all there is to it? It certainly seems so.

  • Or rather:

    Just because you stroke your wallaby does not mean you can count on him to nuzzle your hand, or to make cute poses with you for your friends to see.

  • So…this has nothing to do with something that would improve the quality of life for Americans, it’s about holding onto power.

    I hate to tell Kristol and the rest of the Power Rangers, but the more people see that Republicans are standing in the way of universal health care, the more likely Americans will vote them out of the way in order to get it.

    And that should be the message Dems are shouting from the mountaintop – that all that stands in the way of serious, sensible and much-needed plans for all Americans to be covered by health insurance, are Republicans who are looking out for the interests of the insurance and health-related sectors.

  • This is like the abusive husband who won’t let his wife out of his sight for fear she’ll meet someone who doesn’t treat her like shit.

    Being nice to her is of course, not an option.

  • I hate to tell Kristol and the rest of the Power Rangers, but the more people see that Republicans are standing in the way of universal health care, the more likely Americans will vote them out of the way in order to get it.

    And that should be the message Dems are shouting from the mountaintop – that all that stands in the way of serious, sensible and much-needed plans for all Americans to be covered by health insurance, are Republicans who are looking out for the interests of the insurance and health-related sectors.

    Anne, I hope you’re right. I remember saying something very similar in 1994, and being completely baffled as to why the Clintons couldn’t win that fight. They’d crafted a plan that was actually fairly good for the insurance industry–and they still got hammered on the politics.

    Though I’m an Obama supporter, reading your language now makes me wonder if Edwards really isn’t the best guy for this particular job. We sure as hell know he can sway a jury of nine; why not let him at a jury of 300 million?

  • I would like to see a series of TV adds reading these memos that have been sent by rethug operatives over the years. That ought to force them into the harsh light of day. 🙂

  • I don’t buy it.

    First, let’s face it no matter how great things get under a D (the 90’s), the R’s will keep their faithful and have the ability to elect an R to the White House and Congress.

    Second, BigMed and BigPharma have way more influence on the R’s vote then the future of their own party, hands down.

  • ….putting the goal of moving the Court in a more constitutionalist direction out of reach for another generation

    ‘More constitutionalist’ meaning in this instance ‘less constitutionalist’.

  • What would a conservative Republican utopia look like? Except for their permanent hold on power, what kind of America do they want?

    My guess is one like fourteenth-century Europe, except with vaccines & crappy television.

  • Actually, Dajafi (#1), it’s 99% certain that the Democrats will obtain a 60-vote majority in the Senate. So far, 8 Republicans have run up the white flag and announced their retirement next year. In only one of those cases (Hagel), is a Republican likely to replace the retiree. There are an additional 4 seats where the Republican plans to whistle past the graveyard despite polls showing that whichever Democrat wins the primary will beat them in November. We are looking at an 11-seat pickup in the Senate, which means a flibuster-proof majority without Holy Joe.

    In the House, with 16 Republican voluntary retirements and 12 others up for involuntary retirement – having won by narrow majorities last year – there is a minimum of a strong working majority (and with a year of Little Georgie’s fuckups to come, maybe more) in the House.

    What we are looking at is a congress as strongly Democratic as that of the New Deal. In fact, 2008 looks like it could be as world-changing as the election of 1932, if we keep our wits about us. So to my fellow progressives: stop grabbing victory from the jaws of defeat and look at winning. All this constant yapping about how many “good Democrats” can dance on the sharp end of a pin needs to stop – we need to use the policy Reagan enunciated in 1980 in working for his majority – we need an “Eleventh Commandment” like the Republicans had back then.

  • And so we see underlined clearly the core principle of Republicans. The only one they share.

    They hate Democrats. Period.

    “Must. Beat. Democrats.” is their mantra. Everything else is window dressing, and they project this onto Dems every chance they get, saying that we “just hate Republicans”. Of course that is hogwash, but when all you ever drink is hogwash you really can’t tell it’s not champaigne. I wonder how many Republican voters really understand that their own party says they should just curl up and die, rather than join the rest of the civilized world, free from a predatory “health care system”.

  • Dajafi (#15) said:

    Anne, I hope you’re right. I remember saying something very similar in 1994, and being completely baffled as to why the Clintons couldn’t win that fight. They’d crafted a plan that was actually fairly good for the insurance industry–and they still got hammered on the politics.

    Actually, the Clinton plan got defeated because of the complete and total political incompetence of Hillary, who managed to not only have Republican opposition but gave Democrats no reason to support her. Her “I know what’s good for you so shut up and do it my way” approach, her unwillingness to create allies in Congress, her fatheaded secrecy in coming up with The Big Plan, guaranteed the defeat of her program. If Hillary had any political brains she would have looked at how FDR created Social Secrity and how LBJ created Medicare: they got everyone in Congress who had any ideas at all on the subject involved in the process of creation, thereby giving each of them a reason to push for the passage of the program, letting each of them claim “fatherhood” back home with the voters, and thus passing the bills with big majorities. The Clintons – despite the public relations claims that they have brains – were too stupid to see this.

    Had Bill Clinton been the genius everyone claims he was, he’d have imposed this strategy on Hillary and won.

    The only reason these two incompetent lying scumballs look good is because what came after was even worse than they are.

  • I wonder how many Republican voters really understand that their own party says they should just curl up and die, rather than join the rest of the civilized world, free from a predatory “health care system”.

    But they’ll curl up and die with a smile on their face, because their team is winning.

    Movement conservatism has approximately the same intellectual content as a big foam ‘We’re #1!’ finger.

    And don’t overlook the spite vote.

    Too many people in this country would volunteer to live with their family in a cardboard box under a bridge and eat sparrows toasted on an old curtain rod if you could promise them that the black or Mexican or gay guy in the next box over doesn’t even get the sparrow.

    And they vote.

  • Tom, may it be so. But I just don’t have that much confidence. My prediction is 3-4 seat net positive in the Senate; we win Virginia, New Hampshire, New Mexico, Colorado and (please God) Minnesota, but lose Louisiana. No shot in Idaho, almost no shot in Nebraska and Georgia, doubtful but possible in Alaska, Kentucky (never underestimate the power of pork, and Stevens/McConnell have delivered it by the gross), and Mississippi.

    As for Bush, I suspect he’ll be kept under lock and key by the “Republican grownups” over the next year, emerging only to veto good legislation and then denounce the Democrats for not passing any laws.

    That said, even a smaller Democratic majority than was the case in the New Deal or Great Society periods could be very effective under a strong Dem president, just because it will be so much more ideologically unified than those past unwieldy coalitions comprised in large part of racist Southerners still pissed that Lincoln had done the right think many decades earlier.

  • That last was Tom @22. Re: Tom@24–bingo, and it’s why I wouldn’t really want Lady Triangula to get a second chance to screw it up again.

  • If there are not enough supportive Rs and, yes, Ds in the 111th to get 60 votes in the Senate go Nuclear! If you believe in what you are doing use the power you legally have. Enough cowering!

  • Gosh, I’m naive.
    I thought the conservatives really believed conservatism had mass appeal; that, if only they could convince the great unwashed, they would see that a threadbare weak safety net was in everyone’s self interest.

    To my credit I thought they wouldn’t oppose what they knew to be a good idea because the truth eventually wins out. Bush’s actions of ignoring the truth and putting off the inevitable collapse of pretty card houses reaches back to the days of the new Republican majority, it seems.

    Barring the permanent elimination of public will via electronic election tampering, how could they not realize that opposing the public good was an unsustainable strategy??? Was short term gain so precious that they could be hopelessly blind to the consequences?

    That CAN’T be the whole picture. It can’t be so simple. Can we really take this raw greed at face value? That’s all there is? Eat the seed corn and worry not at all of next year’s crops?

  • The reason conservatives think that a national health-insurance program will result in less people voting conservative is obvious. Pigs suckling at the teat of government become dependent, and fearful of the conservative agenda of self-reliance and small government. Conservatives do not “hate Democrats”. Conservatives love personal liberty, and do not want to lose it to Leviathan.

  • The Republicans are in a desperate struggle to follow the Federalists and the Whigs, whose indirect legatees they are, into the dust bin of history. Like the conflict over slavery obliterated the Whigs, the conflict over immigration will continue to weaken the Republicans. And, like the Alien Act and the Sedition Act discredited the Federalists, unwarranted domestic spying will sink the Republicans.

    I am baffled. Why Republicans and their accomplices should offend the majority to pander to a minority is most puzzling. Why not out-flank the Democrats on the health insurance issue by proposing something better? Why not make a rational policy for the Middle East, instead of getting us in ever more trouble?

    Who would even want to be a Republican, if membership in that party not only leads to embarassment, but is also an obstacle to gaining power?

    The Cycle of History and its ineluctable force of change will swamp the Republican Party.

  • Jay @ 30, that may be what all those stupid neocons think, but anyone with half a brain in his head knows it’s total B.S. Nationalized healthcare is not necessarily “sucking at the teat of government” as anyone from an industrialized nation with national healthcare will readily tell you. acitizens pay for it with their taxes. Business pay in to it with THEIR taxes. Everyone pays, everyone benefits. To say this is sucking at the teat of government is like saying highways and library books are sucking at the teat of government. Your taxes paid for those roads and those books. By all means, use them.

    People who aren’t currently working who in theory CAN work – what the neocons lovingly refer to as “welfare cheats” – already get socialized healthcare WITHOUT putting into it, so that’s a moot point. So, why can’t people who can pay into it also benefit from it?

    Answer: Because Republicans are doo schnozzles. The sooner everyone recognizes this, the better off we’ll all be.

    thanks for trying to muddy the issue. Sorry you failed.

  • in this country you got americans and you got republikkkans and within the republicans you are on the inside looking out or outside (the voter who keep those on the inside in) hoping and waiting to be called to the inside. it’s time to realize that those on the inside want nothing to do with the rest of us.they like to think of themselfs as lords/ landlords and the rest of us as serfs/ peons.if you don’t think so wait till they send your job overseas or give it to an illegal.

  • …universal healthcare not only exists, it isn’t going to be rolled back. and yet conservatives still win elections…

    Have you had a good look at what British or French “conservatives” are like?

    They’re like… DLC Democrats. Or what used to be called “Rockefeller Republicans”. The British Tories are to the left of, say, Joe Lieberman.

    I think this underscores the reason why the American neocons need to be terrified of universal health care. It’d move the entire nation to the left, for generations, such that only true conservatives– not raving lunatic neocons like Kristol– would have any chance at all of obtaining any power or influence, let alone winning elections.

  • I have no problem with conservatives. A healthy democracy needs both liberals and conservatives in order to function. It needs energy and ideas as well as prudence and fiscal responsibility. Neocons, however, are NOT conservatives; they are radicals. They are all about power and money, and the in-your-face exercise of both. They exemplify the bully mentality; having no stomach for actually governing, but enjoying the exercise of power nonetheless.

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