After a year’s arduous work on health care reform, some progressives are throwing up their hands in exasperation: what did we really get for all the struggle and strife? Should we even support it? According to critics, Democratic legislators have compromised too often and conceded too much. The bundle of policies we’re left with is deeply flawed – imperfect half-measures unable to deliver on any of our major goals. Why bother fighting, in the end, to secure passage of a reform that’s so weak? Voices like these have been a recurring feature of U.S. healthcare debate for decades. They tend to forget – improbably enough, for people who genuinely want to transform our screwed-up health care system – that only a political victory can change that system.
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