Former President Barack Obama tried the big fix in health care and he came away with the scars to show for it. Now, House Speaker Paul Ryan and President Donald Trump are trying for the big health-care fix, and they are coming away with the scars to show for it.
Maybe there is a lesson in there.
It is this: Health care is such a giant national issue that it isn’t easily or effectively resolved with broad plans that have only narrow partisan support. When that is attempted, even small factions within a single party have the power to disrupt things. That is precisely what has happened to Messrs. Ryan and Trump as their plan hit a roadblock built by members of their own party.
The president and the speaker may well bring their bill back from the brink of disaster in the House in the coming hours or days, by making fixes designed to please just enough conservative Republicans without offending too many moderate Republicans.
But that will only ensure that the legislation is headed for a similar minefield in the Senate….