
By Paul Krugman
The midterm elections were, to an important extent, a referendum on the Affordable Care Act; health care,
 not Donald Trump, dominated Democratic campaigning. And voters 
delivered a clear verdict: They want Obamacare’s achievements, the way 
it expanded coverage to roughly 20 million people who would otherwise 
have been uninsured, to be sustained.
But on Friday, Reed O’Connor, a partisan Republican judge known for “weaponizing” his judicial power, declared
 the A.C.A. as a whole — protection for pre-existing conditions, 
subsidies to help families afford coverage, and the Medicaid expansion —
 unconstitutional. Legal experts from both right and left ridiculed his reasoning and described his ruling as “raw political activism.” And that ruling probably won’t be sustained by higher courts.
But
 don’t be too sure that his sabotage will be overturned. O’Connor’s 
abuse of power may be unusually crude, but that sort of behavior is 
becoming increasingly common. And it’s not just health care, nor is it 
just the courts. What Nancy Pelosi called the “monstrous endgame”
 of the Republican assault on health care is just the leading edge of an
 attack on multiple fronts, as the G.O.P. tries to overturn the will of 
the voters and undermine democracy in general.
For
 while we may congratulate ourselves on the strength of our political 
institutions, in the end institutions consist of people and fulfill 
their roles only as long as the people in them respect their intended 
purpose. Rule of law depends not just on what is written down, but also 
on the behavior of those who interpret and enforce that rule.
If
 these people don’t regard themselves as servants of the law first, 
partisans second, if they won’t subordinate their political goals to 
their duty to preserve the system, laws become meaningless and only 
power matters.
And what we’re seeing 
in America — what we’ve actually been seeing for years, although much of
 the news media and political establishment has refused to acknowledge 
it — is an invasion of our institutions by right-wing partisans whose 
loyalty is to party, not principle. This invasion is corroding the 
Republic, and the corrosion is already very far advanced.
I
 say “right-wing” advisedly. There are bad people in both parties, as 
there are in all walks of life. But the parties are structurally 
different. The Democratic Party is a loose coalition of interest groups,
 but the modern Republican Party is dominated by “movement 
conservatism,” a monolithic structure held together by big money — often
 deployed stealthily
 — and the closed intellectual ecosystem of Fox News and other partisan 
media. And the people who rise within this movement are, to a far 
greater degree than those on the other side, apparatchiks, political 
loyalists who can be counted on not to stray from the party line.
Republicans
 have been stuffing the courts with such people for decades; O’Connor 
was appointed by George W. Bush. That’s why his ruling, no matter how 
bad the legal reasoning, wasn’t a big surprise. The only question was 
whether he would imagine himself able to get away with such a travesty. 
Obviously he did, and he may well have been right.
But
 as I said, it’s not just the courts. Even as Trump and his allies spin 
fantasies about sabotage by the “deep state,” the reality is that a 
growing number of positions in government agencies are being occupied by
 right-wing partisans who care nothing, or actively oppose, their 
agencies’ missions. The Environmental Protection Agency is now run by 
people who don’t want to protect the environment, Health and Human 
Services by people who want to deny Americans health care.
The same takeover by apparatchiks is 
taking place in politics. Remember when the role of the Senate was 
supposed to be to “advise and consent”? Under Republican control it’s 
just plain consent — there is almost literally nothing Trump can do, up 
to and including clear evidence of corruption and criminality, that will
 induce senators from his party to exercise any kind of oversight.
So
 how do people who think and behave this way respond when the public 
rejects their agenda? They attempt to use their power to overrule the 
democratic process. When Democrats threaten to win elections, they rig 
the voting process, as they did in Georgia. When Democrats win despite 
election rigging, they strip the offices Democrats win of power, as they
 did in Wisconsin. When Democratic policies prevail despite all of that,
 they use apparatchik-stuffed courts to strike down legislation on the 
flimsiest of grounds.
As David Frum, 
the author of “Trumpocracy,” warned a year ago: “If conservatives become
 convinced that they cannot win democratically, they will not abandon 
conservatism. They will reject democracy.” That’s happening as we speak.
So
 Pelosi was right about Reed O’Connor’s ruling being a symptom of a 
“monstrous endgame,” but the game in question isn’t just about 
perpetuating the assault on health care, it’s about assaulting democracy
 in general. And the current state of the endgame is probably just the 
beginning; the worst, I fear, is yet to come.
 
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