The Republican agenda is stuck in neutral in part because of the tendency by Beltway Republicans and some conservatives to play by the rules established by the media and progressives, the flouting of which were a contributing factor in Donald Trump’s electoral victories.

The health-care fiasco, though not foreordained, was eminently predictable once Republicans essentially adopted the premise of the media and Democrats that government should control health-insurance markets and ensure that everyone is covered. And once that premise was internalized, single-payer became a more likely outcome than repeal.

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