When it comes to health care and entitlements, the party’s policies don't always align with its coalition’s beliefs.
The Senate Republican health-care bill has been repeatedly crushed in a slow-motion collision between the party’s historic ideology and the interests of its modern electoral coalition. Yet congressional Republicans appear determined to plow right through the wreckage.
Even as the Senate’s latest effort to repeal the Affordable Care Act collapsed on Tuesday, the House Republican leadership released a 10-year federal-budget blueprint that points them toward a similar confrontation, between their dominant small-government dogma and the economic needs of their increasingly blue-collar and older white base.
John F. Kennedy famously said that failure is an orphan. But the failure, at least for now, of the GOP drive against the ACA has many parents. One was a distracted and ineffectual President Trump. Even higher on the list sits Senate Majority Leader Mitch McConnell, who displayed a blinding hubris that will forever cloud his previous reputation for legislative wizardry. Operating with unprecedented secrecy and insularity, McConnell degraded Senate tradition by refusing to hold any public hearings or committee votes on the legislation. His closed-door process provoked not only unified opposition from Democrats, but also every major medical stakeholder. He sought to pressure dissenting senators with unrealistic vote deadlines—then retreated as they repeatedly called his bluff.