TPM gets to the crux (via Atrios):
"To run a campaign, you need ideas the other side can't sign on to. More to the point, you need ideas they can't easily co-opt by counterproposing a watered-down version. That means you need to attack some of the substance of what K Street Republicanism has done.... After all, why is the Medicare bill so crappy? Because the GOP is run by lobbyists. Why can't we make student loans cheaper? Because the GOP is run by lobbyists. Why can't we secure chemical plants against terrorist attacks? Because the GOP is run by lobbyists. Why is the tax code so full of loopholes? Because the GOP is run by lobbyists."
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