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This nails the conservative approach to health care reform perfectly:

THE NEW REPUBLIC | Blogs
The conservative health care strategy works like this: endorse subsidies in theory, since it would seem unacceptably heartless to simply say that people who can’t afford medical care shouldn’t get it. Then, whenever anybody proposes a plan to actually implement subsidies, vehemently oppose it without offering any alternative plan to expand coverage. (Which is what California Republicans are doing.) In other words, let states experiment–except when they actually do.

h/t Ezra Kelin

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