Of all the signs of Democratic midterm trouble, it is fitting that Secretary of Health and Human Services Kathleen Sebelius — who has already contributed so much — should make another important offering. She recently assured the House Ways and Means Committee that health insurance premium increases this coming year would be “far less significant than what they were prior to the Affordable Care Act.”
Increases in insurance premiums in recent years have averaged nearly 6 percent. Because of the rocky launch, age distribution and delayed provisions of Obamacare exchanges, insurance company officials expect far larger premium increases in the spring — in the double digits, if not higher, in many places.
This administration learns nothing. Rather than preparing people for increased premiums, and trying to explain the system’s additional benefits, it says, in effect: If you like your current health insurance premium, you can keep it. What must Democratic candidates think of another round of Obamacare overpromising? In Iowa, for example, rates on the exchange are expected to rise by 100 percent — which will be defended by a Democratic Senate candidate polling under 50 percent.
When it comes to bad electoral news for Democrats, just throw this on the pile. The recent special election in Florida demonstrated that a strong, well-funded Democratic candidate who had never voted for Obamacare could be defeated by a weak Republican candidate who had no issue except Obamacare.
Some Republicans are anticipating a “tsunami” — with the hubris of weather reporting at a distance of seven months. But Republicans really only need a stiff wind to gain a Senate majority.
How that victory is secured, however, will determine its meaning.
One option is for congressional Republicans to lay low, avoid mistakes and trust in time and the political tides. Pushing a serious governing agenda might divide the caucus and distract attention from President Barack Obama’s failings.
While doing nothing is a finely honed congressional skill, it presents problems. A contentless victory, paradoxically, would encourage ideological over-interpretation. Many conservatives would envision the end of Obamacare, the death throes of liberalism and a galloping constitutionalist mandate — forgetting the temporary midterm demographic advantage, the temporarily favorable map and the temporary conditions of a president’s sixth year.
This would also do nothing to solve the long-term problems of a party that has lost four out of the last six presidential elections while progressively alienating young, women and minority voters. And no answer to the 47 percent question: Do Republicans care about struggling and working-class voters?
The alternative is for Republicans to spend the next several months filling their likely victory with the content of creative policy on health care, higher education and social mobility. The search for a Republican Obamacare alternative illustrates the difficulty of such an effort. Paul Ryan’s proposal, while conceptually sound, might involve too much disruption in business-based plans. The House consensus is likely to consist of recycled ideas that don’t add up to an alternative. The Senate Coburn/Burr/Hatch approach — including continuous coverage, refundable tax credits and a default insurance option — strikes me as innovative and appropriately ambitious.
But it is not necessary to reach perfect consensus to pursue an effective strategy after November. The goal is more limited: Force Obama to veto useful policy ideas instead of purely negative and frightening ones. Or maybe even get him to sign some popular, incremental measures.
This approach could both tame Republican expectations and aid reform-minded Republican presidential candidates in the 2016 primaries.
With a win of some magnitude now likely in November, the urgent Republican task is summarized by the wartime poster of Winston Churchill: “Deserve Victory.”