For all the confusion it is causing, President Barack Obama's signature legislative accomplishment did not fundamentally change the health-care industry. Both before and after the law passed, the business of providing medical care in America could best be described as a conspiracy by government, insurance companies and medical care providers to keep prices high.
The health care rollout is an enormous political gift that may lead the Republican Party to win control of the Senate in 2014. But, as President Barack Obama's health-care law collapses, the GOP should avoid the temptation to promote its own top-down solution as an alternative.
Americans are pragmatic, not ideological.
Washington's political class fundamentally misunderstands the role of politics and government in American society. They act as if government is the central force in American life and that its decisions guide the course of the nation. In historical reality, societal trends embrace new technology and the deep currents of public opinion lead the way. Government follows along a decade or two behind.
Many news stories have noted the importance of getting young, healthy people to sign up for insurance on the exchanges created by President Obama's health care law. The Washington Post's Ezra Klein reported that the White House considers this the single most important factor in making the law work.
Many reporters caught up in the bizarre world of official Washington have written extensively on political tactics and implications of the so-called government shutdown and disastrous launch of HealthCare.gov. Typical was a New York Times headline that blared ''Republicans, Sensing Weakness in Health Law Rollout, Switch Tactics.''
Shortly after the end of World War II, a pair of allergists gave some medication to a patient suffering from hives. Surprisingly, the patient reported her lifelong battle with carsickness had disappeared. After follow-up testing, Dramamine quickly became standard issue for fighting motion sickness.
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Another week, another controversy in official Washington. At the moment, 35 percent of voters consider recently exposed National Security Agency surveillance efforts as the most serious. The Internal Revenue Service's targeting of conservatives is No. 2 on the list, followed by concerns about the Obama administration's handling of the incident in Benghazi last fall in which the U.S. ambassador to Libya was murdered. The Justice Department's secret probe of reporters' phone and email records is ...
Many pundits assumed that this would be the year that comprehensive immigration reform became law. The conventional wisdom was that President Obama's re-election and his strong showing among Hispanic voters would force Republicans to go along.
Most stories about the president's health care law these days are about the challenges of implementation and the complexity of setting up exchanges. But that's not where the action is.
Despite a tough couple of weeks, President Obama's job approval ratings are holding up fairly well. As I write this, 47 percent of voters nationwide offer their approval.
There are many ways to describe the enormous gap between the American people and their elected politicians.
The news from Boston over the past couple of weeks has been the stuff of nightmares. Homemade bombs killing and injuring innocent people at a high-profile public event were followed by a massive manhunt. People in surrounding suburbs were ordered to stay inside, businesses closed, and SWAT teams overwhelmed a typically quiet community. The Boston police commissioner warned everyone: "We believe this is a terrorist. We believe this is a man who's come here to ...
Mitt Romney's secretly recorded comment that 47 percent of Americans are "dependent on the government" and "believe they are victims" isn't the only reason he lost the presidential campaign.
Gun control advocates sound puzzled by congressional resistance to relatively modest gun control legislation. Many cite a poll showing 90 percent of Americans support more background checks and suggest the National Rifle Association is the only reason Congress won't implement the will of the people.
President Obama handily defeated congressional Republicans in the political fight over his health care law. But the law will now face a much tougher opponent -- the creativity of Americans determined to gain more control over their own health care decisions. The end result will be a system much different than the president hopes for -- and his opponents fear.
To borrow a phrase, mainstream America and Washington's political class have become two nations separated by a common language.
A bipartisan group of eight U.S. senators has proposed an immigration reform plan that appears to broadly reflect what voters would like to see. But there's a catch.
Following the school shooting horror in Newtown, Conn., our nation shares a heartfelt belief that something must be done.
In Washington, many are celebrating the deal to avoid the so-called fiscal cliff. Some, like The Washington Post, are hailing the "strong bipartisan votes (on) a big, contentious issue."
Tax reform with lower rates and fewer loopholes would be good for America and popular with voters. But substantive reform won't come any time soon.
President Obama and congressional Democrats are still winning the messaging battle in the debate over the impending "fiscal cliff."