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Much has been made about how the individual mandate, and most of the ideas that formed ACA, were - if not Republican ideas outright - at least designed to appeal to the perceived pro-business bias of conservatives. I think there's some truth to the point of view that ACA is largely a "Republican" idea - certainly if you look at what Romney did in MA. And it's certainly plausible that, with the right set of circumstances, Republicans might have produced something very much like ACA.
My challenge to Democrats who are currently supporters of ACA is to consider and answer the following questions: If the tables were turned, if McCain had won in 2008, if Republicans had controlled congress, and something fundamentally the same as ACA had been passed without any Democrats voting for it, how would it change your views on the law? Would you still support the individual mandate? Would you have fought against it when the legislation was being considered? Would you advocate the repeal of, at least, the individual mandate? Or would you still see the law as important reform, albeit imperfect, and support it the same way you do now?
I supported it in the 90s, why wouldn't I support it in 2009?
I understand. I'm not really addressing authoritarian rightwingers such as yourself, as much as egalitarian liberals who are, nominally, opposed to corporate/government collusion.
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