Mitch McConnell decided to minimize public outrage over their developing plan by appointing thirteen GOP Senators, all white males, to meet in closed session to draft the bill. No public hearings, no input from the opposition party, no input from women, no input from the minority community, and no input from the health care provider community.
Even many GOP Senators have been offended by this process, rightly feeling that they had been left out of the process and were being rushed to approve the plan that emerged without really understanding its implications.
Now that the Congressional Budget Office has released its analysis of the draft legislation, it has become apparent that the extremist libertarians in the Senate, the so-called Freedom Caucus, feel it does not go far enough to dismantle Federally supported health care. And the moderates, looking at benefit cuts, rising deductibles, drastic cuts to Medicaid, etc. which will devastate health care for the poor and raise costs dramatically for everyone else, in order to give a tax break to the top 1% are finding that they just can’t go there.
This is REALLY not about health care at all. It is the result on a 35+ year effort on the part of a group of extreme right wing billionaires, like the Koch brothers, to dismantle the Federal government. It’s not just health care they wish to dismantle. It is the entire Federal regulatory structure and involvement on providing the social safety net. Like the Democrats with the ACA, they see this legislation as just the first round. Their eventual goal isn’t just cutting Medicaid. It is dismantling both Medicaid and Medicare. It is the privatization of almost everything we currently view as public goods.
While these extremists have a serious power base within the GOP and have largely, through excellent organization and vast financial support from the radical point one percenter billionaires, like the Koch brothers and Robert Mercer, been able to drive the GOP agenda, they are not the majority. Most of the GOP are not the extreme ideologues that these people are. They are more opportunists. They’ve gone along with the extremists when it seemed politically expedient but now that they are seeing the public reaction to the health bill for instance, they are wavering in their support. And the true moderates, of whom there are still a few, are not willing to follow the extremists in their desire to dismantle government at the expense of their constituents.
The moderates concede that there is a legitimate role for Government in administering areas deemed public goods as well as providing some sort of regulation to protect clean air, clean water, the environment in general, etc. This places them closer to establishment Democrats than it does to the more right wing members of their party. This is a serious culture war in our country and it is reflected within the GOP itself. Mitch McConnell was barely able to restrain a pro-Trump super pac from running attack ads on one of their own GOP Senators who was refusing to vote for the health care bill as it stands.
So, given the impasse that may result from this ideological battle which may just result in the inability of Mitch McConnell to enforce party discipline and pass the legislation, he has informed his GOP comrades that their failure will force them to do the unthinkable and reach across the aisle and work with the Democrats to keep the current system functioning. It would mean the defeat of the GOP promised efforts to repeal Obama Care and require them to do what they have refused to do, fix the broken elements of the current system.
And the Democratic Party they will be forced to deal with will be a newly energized group. The resistance effort that has been mobilized within the Dem community has actually reinvigorated talk of single payer, Medicare for all proposals. If the GOP is forced to accept a colossal fail on their repeal and replace effort, the reaction from the public may just push health care reform farther in the other direction than it has been. If the GOP is forced to deal with the Democrats, they will be negotiating with a Democratic party newly energized to go farther in expanding Federal coverage than has been the case to date.