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From the get-go of the healthcare legislation debate, Democrats have waffled and wavered, compromised and kow-towed, and basically proven themselves to be incapable of delivering any substantive healthcare reform. The current senate bill is nothing less than a complete sellout to the insurance companies.
If the Democrats really stood for change, they would have from the very beginning had the balls to introduce single-payer Medicare-style healthcare that eliminated the insurance companies altogether from the primary health insurance field. Instead they thought they could compromise with and appease the opponents of healthcare reform. But each compromise has been met with yet another objection from the opposition. Why? Because the opposition doesn't want the system changed. Period. The Democrats took the bait and it's been all downhill since then.
It's very possible that the Democrats' inept handling of healthcare reform legislation will signal the beginning of the end for the Democratic Party. That might just be the thing we need to kickstart a new party that will stand up for working-class Americans.