Republicans are really just obstructionists. Their constant fixation is with how to keep big government from getting bigger, and how to make big government "work". And the health care debate is only the most recent iteration of this insanity.
The Republican line on this whole debate has been uniquely absurd, even for them. Here it is, in all of it's conflicting glory:
1) Obamacare represents a government takeover of health care.
2) Government takeovers of health care are bad.
3) Obamacare would result in reducing funding for Medicare, a government run health care program.
4) Somehow, this is also bad.
It just puzzles me to see Republicans railing against socialized medicine while defending the rights of seniors to socialized medicine. Their is some serious cognitive dissonance going on here. The big problem is that, as I have written before, in a nation in which my property is up for grabs through the legislative process, and can be given to other "deserving" groups, tiny interests (such as seniors) have a large interest in supporting big government programs that benefit them. All the while, the rest of us only lose a tiny chunk of our pay check. This doesn't seem so bad. Except for the fact that there are hundreds of interests suckling at the breast of the American working public. In the aggregate, farmers, seniors, the indigent, children, homeowners, contractors, etc. are killing the very foundation that America was built on. That an American is responsible to take care of himself. We band together for protection, but we are in the end personally responsible.
Once we've given up on that basic principle, we've lost hope. Which is why I don't hold out too much hope for the Republicans or the Democrats. They are a bunch of sniveling cowards. And I can't blame them really. If you turn against every organized interest as a politician, save for the extremely rare exceptions such as Ron Paul, you lose elections. And that's what it comes down to. Our system is simply flawed, and politicians are forced to allow tiny creeping steps on our liberty. At some point, it must stop. Tyranny has been coming slowly for about 100 years. And what can't continue, won't. And this can't go on.