Should Republicans Have Compromised to Produce a Less-Bad Healthcare Bill?

Cato Institute ^ | January 2, 2010 | Daniel J. Mitchell

[Delacon]

Writing for Forbes, Bruce Bartlett puts forth an interesting hypothesis that healthcare legislation could have been made better (hopefully he meant to write “less destructive”) if the GOP had been willing to compromise with Democrats:

Democrats desperately wanted a bipartisan bill and would have given a lot to get a few Republicans on board. This undoubtedly would have led to enactment of a better health bill than the one we are likely to get. But Republicans never put forward an alternative health proposal. Instead, they took the position that our current health system is perfect just as it is.

Bruce makes several compelling points in the article, especially when he notes that it will be virtually impossible to repeal a bad bill after 2010 or 2012, but there are good reasons to disagree with his analysis. First, he is wrong in stating that Republicans were united against any compromise. Several GOP senators spent months trying to negotiate something less objectionable, but those discussions were futile. Also, I’m not sure it’s correct to assert Republicans took a “the current system is perfect” position. They may not have offered a full alternative (they did have a few good reforms such as allowing the purchase of insurance across state lines), but their main message was that the Democrats were going to make the current system worse. Strikes me as a perfectly reasonable position, one that I imagine Bruce shares.

Let’s explore Bruce’s core hypothesis: Would compromise have generated a better bill? It’s possible, to be sure, but there are also several reasons why that approach may have backfired:

1. It’s not clear a policy of compromise would have produced a less-objectionable bill. Would Senate Democrats have made more concessions to Grassley and Snowe rather than Lieberman and Nelson (much less whether the “concessions” would have been good policy)? And even if Reid made some significant (and positive) concessions, is there any reason to think those reforms would have survived a conference committee with the House? Yet the compromising Republicans probably would have felt invested in the process and obliged to support the final bill — even if the conference committee produced something worse than the original Senate Democrat proposal.

2. A take-no-prisoners strategy may be high risk, but it can produce high rewards. In the early 1990s, the Republicans took a no-compromise position when fighting Bill Clinton’s health plan (aka, Hillarycare), and that strategy was ultimately successful. We still don’t know the final result of this battle (much less how events would have transpired with a different strategy), but if the long-term goal is to minimize government expansion, a no-compromise approach is perfectly reasonable.

3. A principled opposition to government-run healthcare will help win other fights. The Democrats ultimately may win the healthcare battle, but the leadership will have been forced to spend lots of time and energy, and also use up lots of political chits. Does anyone now think they can pass a “climate change” bill? The answer, almost certainly, is no.

4. A principled approach can be good politics, which can eventually lead to good policy. Democrats wanted a few Republicans on board in part to help give them political cover. The aura of bipartisanship would have given Democrats a good talking point for the 2010 elections (”My opponent is being unreasonable since even X Republicans also supported the legislation”). That fig leaf does not exist now, which makes it more likely that Democrats will pay a heavy price during the midterm elections. It is impossible to know whether 2010 will be a 1994-style rout or whether the newly-elected Republicans will quickly morph into Bush-style big-government conservatives (who often do more damage to liberty than Democrats), but at least there is a reasonable likelihood of more pro-liberty lawmakers.

When all is said and done, Bruce’s strategy is not necessarily wrong, but it does guarantee defeat. Government gets bigger and freedom diminishes. For reasons of principle and practicality, Republicans should do the right thing.

[dr_who]

Hell no.

[sickoflibs]

Compromise ??? LOL

Yep, improve the bill so democrats can take credit for it, brilliant!

[BuckyKat]

No way no how. Democrats’ definition of “compromise” is throwing a meaningless bone to the republicans and leaving all sorts of ridiculous loopholes they can close later after they’ve either cut the republicans out entirely or put in even worse provisions.

Nope, we can accomplish far more by being united against this turkey. Compromising only then gives the dems an excuse to run on the “but they did it too” mantra.

[GeorgeSaden]

Absolutely not! The trouble with any compromise is that any defect becomes the fault of Republicans.

Consider electricity "deregulation" in California. Most of problems occurred because Democrats refused to go through with deregulation useless certain concessions were made. Republicans compromised, and when those concessions screwed things up, Republicans were bashed.

The only thing Republicans should ever offer as a "compromise" is direct universal (for all) subsidies for what ever hair-brained scheme the Democrats offer. At least then we'd all know just how stupidly expensive the Democrat plan would be.

[HANG THE EXPENSE]

Certainly not.

[goat granny]

NO NO A THOUSAND TIMES NO. That was Bob Doles problem when he was minority leader in the senate...his philosophy, was ok but not quite as much as you wanted......Democrats took little steps at a time to get where we are.....NO COMPRIMISE...

[PubliusMM]

There should be NO compromise of the Constitution, and the Federal government has NO authority to legislate in the areas of health care, including Medicare and Medicaid. The pubbies are right to oppose this travesty.

It’s time to take back the country.

[SierraWasp]

No only NO, but... WELL NO!!!

[goodnesswins]

Nothing seems to be wrong with FD to me....

[Lorianne]

No!
This is just a back door way to blame Republicans for a bill that is 100% the Democrats doing.

Why help them in that disinformation campaign?
Is the author trying to help them blame Republicans for that stinking pile of you-know-what bill?

[DoughtyOne]

No, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no.

And other than that, NO!!!

There is no reasoned government takeover of health care.

[Delacon]

FD? Federal Destruction?

[Mamzelle]

I read Barlett’s article. He’s just a flat-out liar, and I resent Cato’s measured examination of it. The GOP was shoved out the discussion from beginning to end, and this rat knows it.

[Delacon]

So you are against it?

[swatbuznik]

That is one word I’ve gotten really sick of...”compromise.”

[Mamzelle]

I wonder how Barlett measures on the Soros meter? What do you want to bet that he’s Soros’ b@tch?

[KarlInOhio]

4. A principled approach can be good politics, which can eventually lead to good policy. Democrats wanted a few Republicans on board in part to help give them political cover. The aura of bipartisanship would have given Democrats a good talking point for the 2010 elections (”My opponent is being unreasonable since even X Republicans also supported the legislation”). That fig leaf does not exist now, which makes it more likely that Democrats will pay a heavy price during the midterm elections.

4a. Each Republican collaborating with the Democrats allows one additional Democrat in a swing district to vote against it, thus making it less likely that district will be taken by the Republicans. The Democrats had the votes and didn't need any Republican help. They just wanted political cover for some Democrats.

[Psalm 144]

Oh hell no!.
How about CATO compromise by kissing my arse.

---

Agreed. Not the left cheek, not the right cheek, but a compromise in the middle.

[DoughtyOne]

;-)

Some people can read War and Peace and come away learning nothing. Others can read a bubble-gum wrapper and come away with the secrets to the universe. Superman, Lex Luthor (paraphrased - Gene Hackman) Great line...

[azishot]

Looks like *NO* is the popular and CORRECT answer.