Theory: if any other Republican had won the presidency, they could pass a health care bill. Trump heightens their internal contradictions.
Not exactly true: they passed Medicare Part D and No Child Left Behind because the Executive was in tune with the Congressional delegation.
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The only reason they were able to make them law is bc they just completely co-opted the liberal ideology of a more expansive role of
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government which gave them overwhelming bipartisan support. I wouldn't exactly call those conservative legislative victories if they
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