Tuesday, August 11, 2009

Ezra Klein has an interesting item on the current state of relations between the business community and the GOP on health reform.  First, he notes the conundrum:
We're seeing something very interesting right now. A Republican Party unmoored from its traditional supporters in the business community. A conservative base that wants something that the health care industry doesn't want. For those whose mental model of the Republican Party is that it's essentially a vessel for corporate interests, that model is about to receive a dramatic test.
Then the comparison between 1994 and today:
One difference between 1994 and 2009 is that the health-care industry and the business community range from neutral to supportive of the White House. The Chamber of Commerce, in fact, is running ads against Republicans who are opposing health-care reform. AHIP wants a deal. So does Pharma. They may not want the deal that liberals want. The deal they want may, in fact, be bad. But their preferred outcome is a lot closer to the White House's vision of success than it is to Mitch McConnell's vision of success.

Republicans, however, are no more supportive of health-care reform than they were in 1994. Conservatives are exactly as angry. The town halls are, if anything, louder and more brutal. Talk radio is up in arms. The controversy and chaos are scaring the broader public. No one wants a health care bill that might contain a euthanasia provision.

We're about to see a very interesting test case: Can the business community and the health care industry deliver Republican votes? Will their presence on the side of reform -- even if only nominally so -- change the outcome? Or has the opposition of industry been an excuse for past failures, and it's in fact the minority party's incentive to kill reform that's foiled each and every attempt?