Oh, Michael Gerson — sometimes you are right:
On the evidence of nations such as England, a national health system places a conservative party at a permanent ideological disadvantage. Every proposal for tax reductions is attacked as undermining the eternally hungry public health system. Every failure of that system becomes an excuse for greater spending and government involvement. The tide of government grows, and the ebb weakens, until no one can fight the flood.
This is the main explanation for Republican resistance to Democratic health reform — and the reason that Sen. Snowe is likely to remain a lonely heretic.