GhaleonEB said:
I was referring to Obama, who is literally enacting policies proposed by Republicans in the 90's, namely such as the healthcare bill.
This is the worst talking point. It will always be the worst talking point. And it tells you everything about the self-destructive nature of Obama-Era progressives that it is almost a universal belief among them (at least on the internet). It seems like this started out as a way convince moderates to support Obama and Democrats, but all it has evolved into is a way for progressives to be constantly negative despite huge policy victories.
The Republicans' healthcare proposals in the '90s were, first and foremost, a counter to Clinton's proposals. But you will notice that once Clinton folded on healthcare and Republicans took Congress, they didn't actually go through with any legislation. Keeping with Republican tradition, they are often very willing to propose common sense legislation before elections, but when elected they instead try to cut funding to Planned Parenthood or legislate further discrimination against homosexuals.
The PPACA differs wildly from the ideas Republicans had in the '90s, and even from Romneycare (which itself was a compromise between a moderate republican and an ultraliberal state). Heck, Bob Dole's plan used a lot of the buzzwords we use today about healthcare reform, but much of it was centered on devolving Medicaid to give states more power on what they cover (read: to allow them to cut off healthcare for poor people), while PPACA strengthened Medicaid significantly (though thanks to electing Republicans in the House, these gains will more than likely be mostly or completely reversed).
The core of the healthcare bill is its large subsidies for buying insurance, which is a new entitlement for the middle class. You're crazy if you think congressional republicans in the '90s would have spent hundreds of billions of dollars to subsidize middle class healthcare. They would have at most passed a mandate and given tax exempt status to certain employers.
There is no comparison to the extensive list of regulations that the PPACA enacted, few of which Republicans would ever pass on their own. The regulations on medical loss ratios alone are hugely significant, and pave the way to a clear progressive victory (PPACA changed them to the point where the CBO said if we change it much further,
we will be defacto nationalizing the health insurance industry). Again, if you think Republicans, '90s or otherwise, would be willing to make moves like this, I've got some ocean front property in Arizona I'd love to sell you.
The PPACA was not single-payer healthcare. It's a shame that it wasn't. It's a shame that no one ran on single-payer healthcare and won. It's a shame that we aren't negotiating pharmaceutical prices and importing from Canada. There are many things that could have been done better, but to position what we got as "something the Republicans wanted in the '90s" doesn't pass the laugh test, and yet it's applied to almost everything that has happened in the last three years.
If the healthcare bill is allowed to phase in completely, all it would take to put us on the level of the First World is one more decent Democratic election victory, and a resulting tightening of health care regulations. This is why Republicans do not support the healthcare bill, because they know if it sticks it will improve, and they don't want us to have competent, popular government programs. The sooner progressives stop lying to themselves about how far we've come, the sooner we can start moving forward again.
edit: argh, I see ToxicAdam already posted something similar. Sorry for re-treading a few points.