Delaware Liberal

[W]hile conservatives think the Obamacare exchanges are overregulated and oversubsidized, they are actually closer to the right-of-center vision for health care reform than the Obamacare Medicaid expansion, which is happening no matter what transpires with Healthcare.gov. So if the exchanges fail and the Medicaid expansion takes effect (and, inevitably, becomes difficult to roll back), we’ll be left with an individual market that’s completely dysfunctional and a more socialized system over all. In that scenario, the Democratic Party would probably end up pushing, not for the pipe dream of true single payer, but for a further bottom-up/top-down socialization, in which Medicare is offered to 55- to 65-year-olds and Medicaid is eventually expanded even more. Meanwhile, the task for serious conservative reformers — already not the most politically effective bunch — might actually become harder, because they would have to explain how their plan to build an effective, exchange-based marketplace differed from the Obama White House’s exchange fiasco.

It’s hard to say which should trouble Republican Party leaders the most right now: the sour mood among GOP donors, or the money suddenly swelling Democratic campaign and super PAC coffers. Not only have the Democratic campaign committees that back House and Senate candidates outraised their GOP counterparts, but unrestricted super PACs that support Democrats have pulled in close to three times what GOP super PACs have so far, according to the Center for Responsive Politics.