I was distressed to read this post by Megan McArdle about "The Future after Health Care," particularly this part:
There seem to be three complaints here. The first is that the American people don't want health care reform, or at least this version of health care reform. I don't think anyone will hold up the bill that will pass as exemplary, but it does reflect elements of health care reform that Democrats campaigned on and won on in 2008. So I have a hard time seeing this as doing violence to the will of the people as it is typically expressed in our electoral system. Elections matter. This is how they matter.
The third complaint is the most legitimate of the three, that we have created a new entitlement with dubious financing and greater government involvement in the provision of health care. This is more true than I would like it to be, but given what Republicans passed with Medicare Part D, they have surrendered the fiscally responsible high ground. And, more importantly, they surrendered the political high ground when they failed to propose a coherent alternative that addressed the critical problems of pre-existing conditions in health insurance markets. It was a mystery to me that no Republican stepped up with a sensible alternative that addressed the structural problems without committing to such a large federal government role in the conduct and financing of health care markets. That was the fight they should have had. To say that they lost would not be right. They simply didn't show up.