To repeal Obamacare on the establishment plan, the GOP needs sudden and sustained electoral success — despite the high hurdle of media bias. At least two federal election cycles, and more likely three or more (i.e., at least four years, and probably six or more), will be necessary. Obama, after all, will still be president for three more years and will never sign a repeal bill. Even if a Republican wins the White House in 2016, and even if Republicans by then have held the House and won the Senate, the GOP will not have overwhelming congressional majorities.
Furthermore, unlike Senate Republicans, Senate Democrats are unified and disciplined. Knowing the press is the wind at their backs, they are disposed to use every parliamentary privilege available to a minority to obstruct a repeal of Obamacare. Remember, Democrats unilaterally enacted Obamacare at a time when it was very unpopular and seemed likely to cost them dearly at the ballot box. But they are influenced by movement progressives to a far greater degree than the Tea Party influences Republicans. So important was socialized medicine to the Left that Democrats rammed Obamacare through, regardless of the likely electoral consequences. They are going to fight repeal to the death.
These obstacles alone are enough to make “uphill” an understatement. But that’s not the half of it. To buy the GOP establishment’s “repeal by winning elections” alternative, you also have to believe that Republicans are going to repeal a vast entitlement that has, by then, been on the books, with millions of Americans drawing subsidies, for at least four, and more likely six or more, years.
Remember, Republicans are the guys who gave us a new Medicare prescription-drug entitlement when Medicare was already tens of trillions of dollars in debt. They are the guys who ran in 2012 as the saviors of Medicare — even though they well knew that slamming Obama over taking money out of Medicare would make it much more difficult to address Medicare’s unsustainable costs in the future. They are the guys who accept core premises of Obamacare: Republicans do not make the case that health care is like any other commodity in a free market rather than a corporate asset to be centrally managed. The disagreement between statist Democrats and the GOP establishment is about the degree of government intrusion in health care, not the matter of government intrusion in principle. Republicans are also the guys who want to keep some of Obamacare’s core, anti-free-market elements — e.g., provisions that forbid denial of coverage owing to preexisting conditions and that keep “children” on their parents’ coverage until age 26.