To the critics of the health-care law, however, the real lesson of the announcement is clear: OBAMACARE IS A DEBACLE. And to those critics, that is the real lesson of essentially every development in health-care reform.
If governors decline to establish state exchanges, leaving that task to the federal government, then Obamacare is a debacle. If the administration releases a complex application form for the coming exchanges, then Obamacare is a debacle (even if the application is just a draft). If states opt out of the Medicaid expansion, then Obamacare is a debacle.
No one should doubt that the implementation of the health-care law is creating serious challenges. Reasonable people have objections and concerns. But as with Durning-Lawrence, so with many of Obamacare’s critics, whose conclusions are motivated and preordained.
The same phenomenon can be found among people with diverse political views; it is hardly limited to those on the right. When public officials reduce regulatory costs imposed on the private sector, or decline to issue environmental or other regulations, left-wing critics often conclude that BUSINESS INTERESTS CONTROL GOVERNMENT. This is so even if the regulatory costs are likely to hurt workers and consumers, not merely some abstraction called “business.”