Friday, August 18, 2017

GOP conservatives forced to confront Trump’s “base”


The white nationalist rally in Charlottesville, Va. provides strong evidence of the widening division in American politics.
President Trump’s reaction shows a new stage in the rightward evolution of the Republican Party, one rejected by many GOP leaders.
He would not single out the far right demonstrators for responsibility, even after one of them had killed a woman. Two days later, he read a prepared statement criticizing white supremacists, only to revert to assigning equal blame to racists and their angry opponents.
The GOP has evolved from Lincoln’s war to defeat slave state rebellion to a party led by a president giving comfort to racism. After the Civil War, the GOP became the dominant party. Its platform favored business, while keeping government small and workers under control.
The Great Depression of 1929, the deepest economic crash, revealed the limits of Republican policy. With Franklin D. Roosevelt’s New Deal and a larger role for government, it lost its dominance.
Sen. Susan Collins remains loyal to many of the values of the traditional, pro-business Republican Party, while accepting the need for change. In her views, voters can see a mix of conservatism and practical concern for the less fortunate.
But the party came under the influence of leaders exploiting social issues and opposition to gun control. Under President Ronald Reagan, the party moved to the right. The 1994 congressional elections brought a disciplined and strongly conservative GOP to power in Congress.
The GOP has been tightening its grip on power through the successful use of tactics designed to suppress Democratic voting. Traditional Republicans have been increasingly challenged by strong conservatives, some of them participants in the Tea Party movement, and the elected face of the party became more conservative.
Social conservatives, most of whom would pare government back to little more than national defense, came to dominate the GOP. To them, Collins, though a lifelong party member, is seen as a Rino – a Republican in name only. They now own the brand name, not her,
Trump’s election represented the next step in the rightward evolution of the party. His anti-Mexican, anti-Muslim, anti-“politically correct” rhetoric made some on the far right, who had remained outside the world of politics, believe they now had a one of their own as president.
They suddenly feel free to express and act on their views. Believing them part of his political “base,” Trump seems reluctant to reject their overt and extreme racism. Hence, the Charlottesville rally and Trump’s reaction, applauded by right-wingers promoting white supremacy.
The reaction of elected Republican conservatives suggests that, while the party may have shifted to the right and chosen to emphasize wedge social issues, the party is not ready to embrace racist elements even for their votes.
Still, today’s Republican Party is deeply conservative on a broad range of issues. Because its electoral success appears to be based on a combination of traditional GOP support and the newly self-confident hard right, it is reluctant to compromise with Democrats.
The Democrats run the risk of insisting on a similar degree of strict adherence to a set of principles enforced by real party discipline.
Supporters of Sen. Bernie Sanders may legitimately feel their man would have won the presidential election if he had overcome the Clinton forces control of the Democratic Party. The party had not been neutral and had lost. Now, some Bernie activists want to purge the party’s traditional supporters, whom they see as discredited.
A key to the Democrats’ historic strength has been its openness to a wide range of views. Roosevelt transformed his party’s traditional reliance on the South into a broad coalition including northern liberals. Eventually that combination would break apart after southern conservatives moved to the GOP.

The 2018 congressional elections will be a test to see if conservative Republicanism, in which Trump welcomes extremists, will be sustained or rejected. But the Democrats must do more than merely stand by the pick up the pieces.

The 2020 presidential election may show if progressive Democrats accept the need for a “big umbrella” more than the creation of an uncompromising, ideologically pure party. It may also reveal if the GOP recovers its traditional conservatism or continues its drift to the hard right.

For many people, what is of greatest importance is not the triumph of a party or a political philosophy, no matter how correct it may seem, but whether the political divide has become impossible to close, making compromise impossible.

The survival of the American system of government, operating in a vast and diverse country, depends on compromise.

Friday, August 11, 2017

Electric bills hide costly government policies


Electric bills hide turmoil in the electric industry.
Some recent events illustrate the point. The Maine Legislature sustained Gov. LePage’s veto of solar power subsidies. Renewable subsidies are pushing up costs. New transmission lines are raising rates. Major Canadian hydro projects, hoping for U.S. markets, experience runaway costs
Policy decisions contribute to hidden increases in the price of power. In short, the electric bill pays for more than economical, reliable power.
Back in 1993, Congress remodeled the industry. Formerly, utilities owned both power generators and all the wires, used to serve captive customers. Then Congress ruled transmission lines had to carry any producers’ power, not just that from the line-owners.
In many states, including Maine, utilities were forced to sell off their generators, becoming solely wires companies. The risk of costly, faulty power supply decisions was moved from their customers to independent power suppliers.
The goal was competition among suppliers in a reasonably open market. That worked and the customer’s cost of power may have fallen by about one-third, particularly for those sticking with the standard or default offer.
That’s the good news. The not-so-good news was that the cost of wires just about doubled, allowing the traditional utilities to thrive with little risk.
Wires costs rose because utilities convinced regulators that their transmission lines were old and needed replacement, not always the case.
Siting of new generators also boosted costs. Traditionally, to keep transmission costs low, generators were located close to big markets. But such siting became increasingly difficult.
Some thought that cheap power could be imported from Canada, avoiding siting problems. But that power wouldn’t be any less costly than prices set in the U.S. market where it would be sold. And production costs in Canada are rising.
Public policy encourages renewable resources like hydro, solar and wind. Costly lines from new, distant generators to urban customers may be necessary. That could be the result of recent proposals to generate power in Maine for use in Massachusetts.
But government ordered regulators to go even further. Renewable power could be expensive to produce, slowing its development. Regulators were required to build subsidies into electric rates to allow renewables to appear to be competitive with traditional fuels like coal and oil.
Higher costs paid by today’s customers would supposedly produce cleaner and less costly power for tomorrow’s customers. That’s been promised for decades with dubious results.
Regulators forecast future electricity costs and then price renewables in line with their predictions. The problem is they usually get their forecasts wrong. For example, today’s natural gas prices are far below what they foresaw. Plus, there are new wires costs.
Customers pay a premium price to subsidize renewables without gaining an immediate economic benefit. That’s a real problem for Maine, the poorest state in New England and one struggling to attract new industry.
When the Legislature fell short of the votes to override Gov. LePage’s veto of solar subsidies, it aided customers. The veto may have slowed solar development from becoming competitive and improving the state’s energy mix, but it kept the subsidy’s direct and indirect effects out of current rates.
Renewables deserve public support, but why should today’s customers be forced to pay the subsidy? If regulators were limited to setting rates only for reliable service, legislators could set public policy and subsidize renewables with tax revenues, not rates. Trying to finance subsidies by taxes could reveal if voters favor such support.
By shifting subsidies into electric rates, government levies hidden taxes. It’s public policy without public responsibility. But it can hurt low-income customers and discourage some industries from locating in a high-cost market. On this one, LePage is correct.
Utilities will soon face paying the costs of underused utility lines, as more local resources are developed to serve local users. That’s called “distributed generation,” and it is likely the wave of the future. With improved batteries and other power storage, smaller local solar and wind mini-grids will be possible.
Utilities may stop growing, if new lines are not needed. While they will be allowed to cover their costs, their profits might suffer. They will expect customers to cover expected profits.
The solution could be to allow utilities to become developers of small-scale, renewable generators. Waning profits from big wires projects could be gradually offset by local power systems.
The cost of electricity reflects policy decisions about what resources we use, where they are located and what we pay for them. The monthly bill hides all that.
(Disclosure: I was Maine’s first Public Advocate and headed the state energy office.)


Friday, August 4, 2017

One party control is not working


Political battles in Washington reveal the sad state of governing.
Traditional pragmatism has been replaced by strict partisanship. Checks and balances are threatened.
Partisanship – “It’s my way or the highway” – has replaced the pragmatic style of government. Our tradition has been to find practical solutions to clear public needs.
Is there no role for partisanship, but always middle-of-the-road compromise?
As one of today’s popular sayings notes, “Elections have results.” Voters may give one side the controlling hand in government, so the views of that party have a right to dominate the results. But dominating to the exclusion of the other party doesn’t work.
Take the Affordable Care Act, a name not used by opponents who insist on calling it Obamacare. It was adopted by Congress when both houses were controlled by Democrats and Barack Obama was in the White House. Not a single Republicans voted for it.
Even worse, Senate Democrats used a legislative maneuver called “reconciliation” when they no longer had the 60 senators needed to block a filibuster. Reconciliation allowed them to dodge the filibuster that could kill the bill.
This year, congressional Republicans ran the Democratic tactics through the copier. They wanted to pass a “repeal and replace” bill through filibuster-proof reconciliation without a single Democratic vote.
The Democrats had adopted a health care policy extending coverage to millions of people, financed by tax increases on the wealthy. By excluding most GOP suggestions and hence their votes, the Dems paved the way for a later Republican attempt to cut the coverage and the taxes.
Because the Republicans had done a far better job in attacking the ACA than Obama did in selling it, the GOP could reasonably expect it would be easy to defeat. They failed to reckon with the millions of newly covered people who came to like the ACA.
The only likely solution will be to repair the inefficiencies of the ACA and keep its costs under control. Members of both parties have put forth good reform ideas. Right now, GOP congressional leadership still rules out cooperating with the Democrats. It’s a matter of partisanship over pragmatism.
The president and Congress have historically found ways of working together. In the case of health care, the White House might have taken the lead, laying out its proposals. Instead, President Trump, lacking a proposal of his own, has been willing to sign anything the GOP can pass and then claim victory.
Trump has little apparent regard for Congress and little understanding of the legislative system. On health care, he has attacked Republican members of Congress, whose support will be essential on other issues. Short on substance but strong on salesmanship, he is losing support of what is supposed to be his party.
This split could not be more obvious than in the nearly unanimous congressional vote to impose sanctions on Russia for its role in the 2016 elections, its takeover of Crimea and its support of Syria’s dictator.
Russia’s involvement in the elections was meant to help Trump in the hope he would allow it a freer hand in the world. He seemed eager to accommodate Russia’s President Putin, and contrary to sound evidence, questioned whether Russia had tried to influence the election.
While Trump may have worried about the effect of Russian involvement on the legitimacy of his victory, Congress focused on combating increased Russian aggressiveness. The new, veto-proof bill was aimed more at taming Trump than at punishing Russia.
The Russia confrontation between Congress and Trump illustrates another fundamental element of the political system, now under pressure. A central part of the American political experiment is the concept of checks and balances, allowing one part of the government to limit another.
That means the president is subject to congressional checks and does not have an unfettered right to set policy. He is commander-in-chief of the Armed Forces, not of the government or of the country.
Trump seems to think his electoral victory represented a mandate for the government to give him complete loyalty. In effect, he expects Congress to make good on his election promises. As president, he expects loyalty to flow toward him, though he owes none to Congress.
Like Trump, congressional Republicans promised to repeal the ACA. Their leaders insist that, above all, they must keep their promise even if that might cost them votes.
The run-up to the 2018 congressional elections and their outcome may reveal if most voters believe practical solutions of major issues are more important than keeping campaign promises.
Can practical solutions beat hard-line partisanship?

Friday, July 28, 2017

Phony federalism: On health care, GOP leaves dirty work to states


Republican congressional leaders have offered health insurance solutions based on phony federalism.
In Maine, Gov. LePage and Sen. Collins provide sharply different views about this way of dealing with health insurance.
The GOP congressional ploy would shift some tough decision to the states. That might look like an effort to enhance the role of states, but it just sheds congressional responsibility, when compromise is impossible. Or it allows special sweeteners for select states.
Members of Congress can say, “I did not vote for that measure, but left it to the states to decide.” Each member could then claim to have supported or opposed the new law, as it suited them.
This supposedly appealing boost to federalism has been used by the Republicans on several issues. Now, with complete control of Congress, they should be able to pass any bill that can avoid the Senate filibuster.
But the health care debate has cost the GOP critically needed votes from both the most conservative and moderate members. The state option is meant as a solution for both sides.
With only a handful of states under solid Democratic control, Republicans leaders might conclude they can repeal the Affordable Care Act and pursue other conservative policies through state action.
The Supreme Court ruled that states cannot be required to accept Medicaid expansion to cover more people, but they could do so voluntarily. Somewhat surprisingly, 31 states and D.C. opted in, while 19 did not take the option.
Among the 30 states that voted for Donald Trump in 2016, 13 have opted in and another seems to be on the way. Thanks to federal government financial support, those states have placed expanding of the number of people with health insurance ahead of partisan politics.
Only two states that voted for Hillary Clinton have refused the option. One is Virginia, where the state government is divided between the two parties.
Maine is the other, having failed to opt to expand Medicaid coverage, as Gov. LePage’s allegiance to GOP conservatism with his party’s legislative support, overrode extending health care access in the state. Voters will vote in November whether to override the governor by adopting a citizen initiative to accept expanded coverage.
Based on the Medicaid experience thus far, the GOP leave-it-to-states approach may not work well. Only if appearances, not substance, are what matter to members of Congress, would this ploy be useful.
One result of the Republican scheme is to enhance the role of many governors in the federal legislative process. In the past, senators and House members infrequently consulted governors.
Now, in states that voted Republican in 2016 but opted for expanded Medicaid, governors are making clear they want no ACA retreat, as has been part of every GOP health reform alternative. Governors won’t strip people of coverage they only recently obtained.
That leaves congressional Republicans caught between the demands of national party policy opposing Obamacare, and the demands of their own states as voiced by their governors. Being opposed by Trump when running for reelection next year may seem preferable to being opposed by the governor.
Though LePage has blocked expansion, Sen. Collins courageously opposes slashing Medicaid nationally and has never supported outright ACA repeal.
The split between GOP governors and Republican congressional leaders may influence the 2020 presidential election, assuming Trump is not assured of the nomination. Because most senators are under pressure to stick with the party line on health care and other issues, their ability to influence the debate is limited.
A hopeful like Florida’s Marco Rubio has little room for maneuver. Like many other congressional Republicans, he must vote for reform proposals that are more like repeal to keep faith with electoral promises made by his party.
By contrast, Ohio’s GOP Gov. John Kasich, whose state opted for expanded Medicaid, is free to come up with his own ACA reform proposal. He has offered his ideas as the basis for negotiations on a compromise, favored by many voters. He shows his independence, and his visibility is enhanced.
Two key points emerge from this attempt to use federalism for purely partisan reasons.
First, Congress cannot effectively dodge its own responsibility to adopt legislation of national scope. States cannot be relied upon to be partners in party policies when they run counter to state interests.
Second, states can experiment with policies before they are adopted nationally. But that means if Washington supports any state option, it should support all options from single payer to subsidized private insurance, not only those choices that are barely disguised repeal.

Friday, July 21, 2017

Media in crossfire: Fact checking vs. fake news


The U.S. is deeply divided about public policy and society’s values. The media, the supposedly neutral chronicler of events, is caught in the crossfire and losing public support.
In a rapidly changing news world, many people believe that newspapers and electronic media are biased. They have doubts if there is any reliable source.
Politicians view the media with discomfort and even hostility. As has always been true, some of them object to the scrutiny of an independent media, failing to understand its essential role in a functioning democracy.
Gov. LePage openly wishes for the demise of newspapers. President Trump labels any report that displeases him as “fake news” and uses Twitter to circumvent the media.
Trump is a denizen of the electronic media world. He openly says he intends to go around the traditional media by his use of tweets. His approach inevitably stimulates his opposition to resort to the same strategy.
The media is supposed to represent the voice of the people in the political process. But something has happened to that voice. The people themselves trust it less. At either end of the political spectrum, partisans believe only sources whose bias corresponds with theirs.
Newspapers, once dominant, and the three television networks had a financial incentive to be neutral. That way they could attract and retain the widest audience. But cable and the Internet greatly expanded access to news sources and opinion.
Unlike traditional media, where an editor could require evidence to back up reports, blogs and social media publish unproven assertions as if they were fact. Readers and viewers have no way of being sure of accuracy, contributing to the falling confidence in the media.
Reliable, objective reporting is harder to find. Much of the media resorts to relaying two sides of an issue and lets that serve as objectivity. Relatively little reporting independently seeks evidence to examine partisan assertions.
The result is that much news is really opinion, not fact-based. Opinion articles, which should be supported by facts, can be untethered to reality while asserting its author’s beliefs as if they were fact.
Even more of a problem is the intentional statement of facts as news when the author knows it is false but uses it to support a viewpoint or political position. The Data and Society Research Institute has recently published a report detailing how this is done and by whom.
Take a conservative column about Trump’s Warsaw speech that you may have read. The president defended the West and hailed it as a notable civilization worth saving. The author, a blogger, said Trump’s words were cheered, “while American leftists writhed in torment before their heads exploded.”
The mainstream media had barely covered the content of his speech. If there was a “leftist” reaction, it was in the same social media world in which the author lives. In that world, such extravagant language promotes division. Because millions participate, it creates a problem for the more responsible media.
Daily newspapers have a news cycle with deadlines. For cable and the electronic media, there’s no cycle and a strong desire to scoop the opposition by getting a story out first. Events are subject to exhaustive interpretation before they happen, when the consumer could know the truth by simply waiting a couple of hours.
The goal is to commandeer the media by the scoop and posting attention-grabbing headlines, even if they are knowingly false. That’s fake news, but successful clickbait. It matters little if this “news” can later be proven wrong; the initial report leaves a lasting impression.
Is the traditional media, trying to report objectively, doomed to disappear under a wave of opinion-based news? Not necessarily.
London’s Financial Times columnist Gillian Tett finds that her paper plus the New York Times, the Washington Post and the Wall Street Journal are all holding their own or gaining. These newspapers have experienced staffs that can seek the truth and provide “real news.”
The model for journalism should not be a balance between conservative Fox News and liberal MSNBC. Few people have the time to watch them both, so they choose to get their news and comment in line with their own bias.
Fact checking, a growing form of journalism, is a better answer. Reporters search out facts to validate or reject major public claims. This approach is growing. More than 190 fact checkers from 54 countries met earlier this month and adopted a code of principles.
Facts, consistently pursued, may be ignored or ridiculed by partisans, but they are the best answer to fake news.

Friday, July 14, 2017

Trump: West's survival threatened by radical Islam, Russia, paperwork


“The fundamental question of our time is whether the West has the will to survive.”
Those were the weighty words of President Trump when he spoke to an enthusiastic crowd in Poland. Though they sound more like the work of his speechwriters than of the tweeter-in-chief, they were both momentous and generally ignored by the media in the flood of news about the G-20 summit.
Trump did more than wring his hands about the future of the West. He outlined the three causes of concern about the fate of North America and Europe, facing threats from “the East” and “the South.”
It’s not surprising that the first threat came from “radical Islamic terrorism.” He warned about the confrontation with an “oppressive ideology – one that seeks to export terrorism and extremism all around the globe.”
This issue gave him the opportunity both to exhort the Arab leaders to whom he had spoken in Saudi Arabia “to drive out this menace” and to justify his policy of limiting immigration or expelling those who don’t “share our values and love our people.”
While he made a widely agreed point about terrorism, he ignored the conflict among the Arab countries that emerged right after the Saudi Arabia meeting in which the U.S. has taken sides, undermining the very leadership role he had recalled.
And his love-me-or-leave-me policy is a standard never employed by the government, because it’s impossible to apply.
His second threat to the West comes from powers that use “new forms of aggression,” including “cyberwarfare.” This concern might apply to China, but because Trump was speaking in Poland, it seemed obvious he was talking about Russia, that country’s neighbor.
In his next breath, he named Russia for its action in seizing territory in the Ukraine and its support for Syria and Iran. He invited Russia to join the West to “fight against common enemies and in defense of civilization itself,” implying that Russia was outside the West, but could change sides.
The President had difficulty sustaining this stern attitude toward the Russians. Denying the findings of all American security agencies, he wondered aloud if Russia had been the only country trying to undermine the 2016 election. He met Russian President Putin and left the impression he had accepted Putin’s denial of responsibility.
Compared to these major world challenges, his third threat to the West seems almost trivial and not nearly as serious. He warned against “the steady creep of government bureaucracy that drains the vitality and wealth of the people.” This threat to the West comes from “paperwork and regulations.”
Dealing with this challenge is “firmly within our control.” If government successfully declares war on rules, that will represent a major contribution to the survival of the West.
In this confrontation, Trump has been causing executive agencies to withdraw rules and to refrain from adopting new ones. There’s no need to amend laws you oppose, if the agencies tasked with carrying out those laws are prevented from adopting the necessary, detailed rules.
In effect, the West will be saved if laws are blocked from application by undercutting the power of government agencies to carry out the requirements of those laws. All that’s necessary is to run around the laws, ignoring the legislative process.
Trump’s concern echoes Alabama Gov. George Wallace in his 1968 run for the presidency as an avowed racist. A famous phrase attributed to him was his attack on “pointy headed bureaucrats” (though that’s not exactly what he said). Those bureaucrats were busy implementing the civil rights laws.
It seemed fitting that the president of the leading country of the free world, the U.S., should deliver the remarks he made in Poland. It sounded like a reassertion of American leadership.
But that broader purpose of setting the priorities for the West did not resonate. The words of warning were belied by the actions of the person speaking them.
At the G-20 gathering of the world’s major powers, Trump led the U.S. delegation away from consensus and toward isolation. On trade, the final statement was left at broad generalizations. On climate, there was a statement by 19 participants and a separate one by the U.S.
Trump’s slogan is “Make America Great Again.” That seems to mean that the U.S. has decided to go its own way, happily relinquishing world leadership to focus on narrow and short-term national issues. Can that help give the West “the will to survive?”
If not, Trump is laying the groundwork for the next president whose slogan could well be, “Make America Great Again.”

Friday, July 7, 2017

GOP can’t fix Obamacare; Dems lack a plan


Health care “repeal and reform” is a mess, and both parties must share the responsibility for what now appears to be a national crisis.
It’s worth recalling the essential elements of the Affordable Care Act – Obamacare – that have led to the crisis.
The ACA extended health insurance coverage to tens of millions of people who could not be assured of decent medical care because they couldn’t pay for it. They would be required to buy insurance in the marketplace, but would receive financial help to pay for it.
Obviously, expanding coverage with government financial help requires more public funds, so the ACA provided for tax increases on the wealthiest individuals and on employers providing luxury, “Cadillac” insurance plans.
If people did not have employer-provided plans, they would turn to state market places in which insurers would compete for their business. However, there could be no public, nonprofit option available as a competitor and a backstop, because congressional Republicans blocked it.
The ACA worked, but not entirely well. Millions more gained coverage. But some states, like Maine, refused federal aid to extend low-income coverage. Costs rose because of uncertainty in Washington about federal funding. Some insurers dropped out of state markets. The wealthy fretted.
President Obama did a poor job selling a major new policy, and the GOP attacked it successfully, gaining control of Congress. Then, more than 50 times, it voted outright repeal of the ACA without an alternative, knowing that Obama could prevent their gesture from ever becoming law.
Finally, Republicans gained control of both houses of Congress and the presidency. Though President Trump made generous promises about a replacement, he had no proposal, leaving the solution to congressional Republicans who could pass a bill without a single Democratic vote.
As David Brooks, the New York Times columnist wrote, many Republicans ignored conservatism, with which they were identified, for a simple solution: reduce the number of people covered and the coverage, while eliminating the tax increases supporting the ACA.
This approach is consistent with a broader GOP policy that calls for reducing the size of government and cutting taxes. Reducing coverage saves money. It does not matter that millions would lose or be denied health insurance and find themselves forced back into emergency rooms for their care.
Part of their “repeal and replace” policy would allow younger people with fewer health problems not to purchase coverage, reducing the insurance pool supporting the costs of older citizens.
These reforms would all take place by modifying, but not repealing, the ACA. Hard-line conservatives thought they did not go far enough and opposed the proposed changes. Moderate Republicans thought they cut off too many people and they, too, opposed the proposed changes.
Result? No bill that can command the nearly unanimous Republican support required.
Meanwhile, conservative institutions have come up with reform proposals. They start by accepting that all people should have insurance coverage. They suggest reducing costs by lowering the income cap for Medicaid eligibility, cutting any federal subsidy for help above that level.
People should be allowed to use their health savings accounts to buy prepaid care, under which a medical procedure would be priced as a whole instead of by each provider in the process. And the “Cadillac” tax on luxury plans would remain.
Congress would also lift its prohibition on Medicare conducting competitive bidding for drugs. That would save the program billions that could support health coverage.
The conservative view is that reforms need to be made that can survive a change in political control in Washington. Otherwise, if the voters don’t like the GOP “reforms,” they will elect Democrats to repeal the repeal.
What’s wrong with the Democrats? They are acting just as Republicans did. They have not said a word about the changes to ACA they would propose to fix its problems. They hope to gain support simply by opposing the Republicans.
The obvious leader should be Barack Obama, who should lead in developing ACA improvements instead of washing his hands of Washington. A former president, even one with a namesake program, staying in the fray is unusual, but Trump proves these are unusual times. Other Democrats could accept his leadership, because they know he can’t run again.
Nothing can be expected from the White House that simply wants to take credit for whatever is passed. Everybody needs to accept almost universal coverage, but there should be Republican and Democratic alternatives from which both sides could negotiate.
The risk of failure not only threatens the health care system, but government itself.