Patrick Ruffini argues that the Republicans were outmaneuvered on the health care debate due to their inaction and their unwillingness (and/or inability) to offer a small-government free-market alternative.
When it comes to health care policy, conservatives have been seriously outgunned. And I say this in all fairness to the friends I have who work night and day on free market solutions to health care. On economics, you always know what the conservative answer is: tax cuts and generally hands-off regulatory policies to spur economic growth. No matter how good the Democrats' promises sound, we return to these simple, pro-growth touchtones that resonate with a majority of Americans who intuitively get that you can't micromanage your way to a better future.
On health care, I have no idea what our basic guiding principle is. Seriously, I don't.
We have tried ineffectively to stretch free market rhetoric to health care without appreciating that health care is already too far removed from a free market for the analogy to make sense. Real markets are sensitive to price. Health care isn't. The insurance companies hide the cost of actual care from the consumer.
What we have lacked in this debate is a simple clarion call to address an aching need -- bringing free market principles to bear to improve tangible health outcomes.
Instead, we have allowed the left to define the problem as exclusively one of access -- of the nearly 50 million without insurance dying in the streets (of course, we don't talk about that number anymore because nearly a third of that number are illegal immigrants, an issue Obamacare studiously avoids).
And it's no surprise. The left has had a far greater number of health care analysts devising grand plans for the eventual takeover. And they have invested more political capital in this issue than any other. It should surprise no one that the conservative effort in this space has been paltry in comparison. We just haven't had as many people thinking about health care, and we didn't actively move legislation on it when we were in power.
First, there were plenty of free-market alternatives offered. (And here, here, and here.) Republicans simply danced around the Big Government alternatives offered by Democrats and ignored those offered by others, especially libertarians.
Second, the Republicans didn't have much to offer largely because they've proven over the past ten years that they lack principle. How can you offer a true free-market, less regulation alternative after their stint in power throughout much of the 2000s?
Third, to the defense of the Republicans, even had they actually concerned themselves with a free-market alternative, it's near impossible to convince voters of the alternative and why it's better. As Bastiat noted more than 150 years ago, it's easy to convince you of the supposed benefits from a government solution to a problem in a matter of seconds. It takes an hour to explain why that solution will fail to deliver on its promises.
Fourth, Big Government ideas flourish with a shortsighted electorate. As the saying goes, socialism promises everything but delivers nothing, while capitalism promises nothing but delivers almost everything. Capitalism promises no utopia. If you wish to bore a voter or voters to death, try explaining to them the virtues of capitalism.
Lastly, it's easy to say that Republicans should have bargained, but in doing so they may have simply marginalized themselves more than they already are. There is no reason at all that Michigan's Governor Jennifer Granholm should have been reelected in 2006 - the state's economy was already in a shambles after four years under her watch. But her challenger, Dick DeVos, shifted away from his smaller government, more markets platform and began tailing Granholm and advocating a "me too" platform. He lost handily because there really wasn't a significant difference between the two, and given the broad overlap of their platforms, it came down to the devil voters knew differing little from that of the devil voters didn't know. Why take a risk on the unknown?