The thing is, I had to get to understand the healthcare policy debate in the 1990s and the core conservative ideas then were an individual mandate and healthcare exchanges where consumers could shop for their own insurance policy. Both of those are in Obamacare as they were in Romneycare.
The truth is that "the most plausible institutional vehicle for conservative ideas about health care" is the Obama administration.
Only about one third of Americans have passports, and if it weren’t for the post- September 11 requirement that one travel to Canada and Mexico on a passport, it would no doubt be an even smaller proportion. (Hence the high number of passports in states with large Latino populations). But take Latinos out of the equation, and which states are cosmopolitan is pretty clear. Lack of experience with the world seems to track pretty closely with strong opinions about how to deal with the rest of the world. It also tracks with socially reactionary views.
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