Republican opposition to ACA.

From Crooks and Liars
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The Real Reason for the GOP's All-Out War on Obamacare

During his press conference on Friday, President Obama pondered why the GOP's "number one priority, the one unifying principle in the Republican Party at the moment is making sure that 30 million people don't have health care." But in attributing the 40 Affordable Care Act repeal votes, the threats to shut down the government over Obamacare funding, the tens of millions of dollars in misleading ads and another summer of town hall rage to the GOP's "ideological fixation," the President was only partly right.

At its core, the Republicans' scorched-earth opposition to Obamacare has never been so much about "freedom" or "limited government" or any other right-wing ideological buzzword as it has been about political power, pure and simple. Now as for the past 20 years, Republicans have feared not that health care reform would fail the American people, but that it would succeed. Along with Social Security and Medicare, successful health care reform would provide the third and final pillar of Americans' social safety net, all brought you by the Democratic Party. To put it another way, the GOP was never really concerned about a "government takeover of health care", "rationing", "the doctor-patient relationship" or mythical "death panels," but that an American public grateful for access to health care could provide Democrats with an enduring majority for years to come