"No one likes big government. If you’re on the left, you worry about the military-industrial-congressional complex that’s spending zillions of dollars creating new weapons of mass destruction, spying on Americans, and killing innocents abroad. And you don’t like government interfering in your sex life, telling you how and when you can have an abortion, whom you can marry. If you’re on the right, you worry about taxes and regulations stifling innovation, out-of-control bureaucrats infringing on your freedom, and government deficits as far as the eye can see.
So when Tea Party Republicans, bankrolled by a handful of billionaires, began calling the Affordable Care Act a “wholesale takeover of American health care,” many Americans were inclined to believe them. Health care is such a huge and complicated system, affecting us and our families so intimately, that our inherent distrust of government makes us instinctively wary. It’s no accident we’re still the only advanced nation not to have universal health care. FDR decided against adding it to his plan for Social Security because he didn’t want to jeopardize the rest of the program; subsequent presidents never got close, at least until Obama.
The best argument for the Affordable Care Act is that our current healthcare system is so dysfunctional — the most expensive in the world with the least healthy outcomes (highest infant mortality, shortest life spans, worst rates of chronic disease) of any advanced nation — that we had no choice but to try to fix it. Even so, it’s a typical American fix: It’s still based on private health providers and private insurers. All government does is subsidize the poor, require insurers to take in people with pre-existing health problems, and pay for it by requiring everyone to be insured.
The Tea Party Republicans’ mistake was to assume that Americans’ distrust of big government, and, by extension, the Affordable Care Act, would allow them to ride roughshod over the process we have for making laws.
Their double-barreled threat to shut down the government and cause the United States to default on its obligations if the Affordable Care Act isn’t repealed or at least delayed is a direct assault on our system of government: If even unpopular laws can be gutted by a majority in one house of Congress holding the rest of government hostage, there’s no end to it. No law on the books will be safe. (Their retort that Congress holds the “purse strings” and can therefore decide to de-fund what it dislikes is bunk; appropriation bills have to be agreed to by both houses and signed into law by the president, like any other legislation.)"