The big picture isn't about winning or keeping power. It's about using it. I've made this argument before, but David Frum, the former speechwriter to President Bush, has made it better. In March, when Democrats secured enough votes to pass the bill, he castigated fellow conservatives who looked forward to punishing Pelosi and President Obama "with a big win in the November 2010 elections." Frum observed:
Legislative majorities come and go. This healthcare bill is forever. A win in November is very poor compensation for this debacle now. … No illusions please: This bill will not be repealed. Even if Republicans scored a 1994 style landslide in November, how many votes could we muster to re-open the "doughnut hole" and charge seniors more for prescription drugs? How many votes to re-allow insurers to rescind policies when they discover a pre-existing condition? How many votes to banish 25 year olds from their parents' insurance coverage?Exactly. A party that loses a House seat can win it back two years later, as Republicans just proved. But a party that loses a legislative fight against a middle-class health care entitlement never restores the old order. Pretty soon, Republicans will be claiming the program as their own.... [Obama, Pelosi, and their congressional allies ] risked their jobs—and in many cases lost them—to pass the health care bill. The elections were a painful defeat, and you can argue that the bill was misguided. But Democrats didn't lose the most important battle of 2010. They won it.