Presidents have been trying to cover the uninsured since LBJ sat in the Oval Office. None have succeeded. Until now. It doesn’t matter whether one approves of the bill or thinks it likely to work or not, one should be able to recognise the legislative achievement and, hence, the scale of this Democratic victory. It’s probably the most significant progressive-inspired* piece of legislation in 40 years.
So how did it happen? A bit of luck, some arm-twisting, a lot of perseverance from Nancy Pelosi and the rest of the House leadership and, with the benefit of hindsight, a spot of GOP blundering. There aren’t, I suspect, 216 members of the House of Representatives who actually like this bill, far less 216 who could vote for it on the merits. But, as I suggested the other day, when substance runs into politics it’s politics that usually wins. And so it was on this occasion too.
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