If you don't think Republicans are monomaniacs, may I suggest watching Mitch McConnell's performance on Fox News Sunday. Three times host Chris Wallace asked McConnell what would become of the 30 million Americans who'd be able to obtain health coverage under the Obama administration's newly upheld health-care law if the Republicans repealed the law, and three times McConnell said that such temporal concerns were beside the point. The third time Wallace asked about the 30 million Americans, McConnell responded, "That is not the issue. The question is how you can go step by step to improve the American health-care system." An incredulous Wallace followed up with, "You don't think 30 million people who are uninsured is an issue?" To which McConnell responded, "Let me tell you what we're not going to do. We're not going to turn the American health-care system into a Western European system."
Ideology—maybe it's closer to theology—trumps reality. Thirty thousand, thirty million, thirty billion uninsured—what difference does it make so long as we shun Western Europe—a poor substitute for the Soviet Union, but it'll have to do.