The conservatives want to take people’s health care away according to Ayn Rand principles of outright selfishness, and the moderates want to take people’s health care away according to traditional conservative principles of wanting to punish sick people if they don’t have money. Complicating things further is President Trump, who wants to take away people’s health care because he doesn’t understand the subject and thinks that taking away people’s health care is giving them more health care at the low cost of $12 a year.

Yet somehow, with so much overlap, they are having trouble agreeing on the exact method to punish the sick. The devil is in the details, and they have a whole party of them working on those details.

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But they need a win. And they all agree on the basic premise that taking away people’s health care would be a major win. And they also know that the media would report it as a major win. Because despite the unpleasantness of people dying and what not, the big story is who is winning. This would be a major, major win.

And it would set them up for further wins, too — such as increasing wealth disparity through more tax cuts for the rich. And that not only would make the rich richer but also would make it harder to ever restore health care for whatever sick people remained. This is what is known as a win-win.