The Triumph of Obama's Long Game - By Andrew Sullivan
July 21, 2017
8:36 am
This was a great week for conservatism.
I know, I know. That word — as it has been reverse engineered by the modern GOP — no longer means in America what it once meant across the West, and I should probably stop pretending otherwise. I’m told repeatedly, and understandably, that my support for the long Anglo-American tradition of conservative political thought is quixotic, perverse, and largely counterproductive. Pragmatism, moderation, incrementalism, reform: These might be conservative virtues in principle, but in practice, the American right junked them years ago. I’m told I should admit that, in the current American context, I’m a de facto, Obama-loving leftist. To cheer the collapse of the brutal repeal of Obamacare has not an inkling of conservatism about it.
So let me explain a little why I found this past week so encouraging. It represented, in my view, the triumph of reality over ideology. And conservatism — from Burke and Hume to Hayek and Oakeshott — has always been, at its core, a critique of ideology in favor of reality. The world is as it is, the conservative argues. Any attempt to drastically overhaul it, to impose a utopian vision onto a messy, evolving human landscape will not just fail, it will likely make things worse. To pretend that the present exists for no good reason — and can be repealed or transformed in an instant — is a formula for ruin. The leftist vision of perfect “social justice” is therefore as illusory and as pernicious as the reactionary’s dream of restoring a mythical past. And the great virtue of America’s deeply conservative Constitution is that it throws so many obstacles in the way of radical, ideological change — to the left or right — that it limits the harm that humans can do to themselves in moments of passion or certainty or in search of ideological perfection.
The utopia the GOP wanted was to return health care to the free market, where choice would be maximized and costs curtailed by consumers. You can see the ideological appeal. But health care is a product unlike any other, and that freewheeling vision had already been decisively rejected by a majority of Americans. Obamacare itself was, in fact, a response to that shift in opinion — and the president was reelected after passing it. The personal bankruptcies, the soaring costs of treating the uninsured and very sick, the impossibility of getting insured with a preexisting condition: A huge majority hated that status quo ante. In the end, there was no going back.
And morally, American culture had already dispensed with the cruelty of allowing our fellow citizens to suffer and die because of a lack of resources. Ronald Reagan was in some ways the first to concede this. In 1986, he signed the law that made it illegal for hospitals to turn away the very sick if they could not pay for treatment. Once that core concession was made by the icon of the conservative movement — that the sick should always be treated in extremis — the logic of universal coverage was unstoppable.
And if universal coverage was unstoppable, the most conservative response to that change was … something very much like Obamacare. It was an incremental reform, it kept the private insurance market, and it attempted to create as big a risk pool as possible. No one argued it was perfect. But it adapted ideas from left and right into a plausible, workable synthesis. And yet the GOP — still fixated on abstract ideology — pretended none of this had happened. Caught in the vortex of their own talk-radio fantasies, they opted to repeal and replace 21st-century reality. And — surprise! — reality won.
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http://nymag.com/daily/intelligencer/2017/07/the-triumph-of-obamas-long-game.html
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