The idea that Republicans are better at responsible spending than Democrats is simply false. Reagan was a big spender. Bush Jr. is the number one candidate for largest spender of un-accounted-for, debt-increasing monies in American history. His Republican congress had similar habits. What part of "we went from the biggest surplus in American history to the biggest deficit in American history" don't Republicans understand? That does NOT qualify as responsible spending.
Responsible spending is not about how much or how little is spent - it's about accounting for the monies spent, spending monies we either have or can somehow responsibly generate, spending efficiently and on projects that are important, make sense and are designed well, and so on. Governmental size should be in proportion to the size of the projects that need to be taken on, and right now, things like healthcare reform, proper economic regulation, environmental regulation to assuage the effects of global warming and the end of the oil glut, and rights and protections for queer and trans/gender-variant people are pressing concerns.
So let's be real: the divide here is fundamentally about what people are interested in spending on. The Repubs don't seem to have any problem funding the largest military this side of the Milky Way. In fact, they don't have very good spending records themselves, by and large. I'm not denying that real, practicing "fiscal conservatives" exist, or that super-spender Democrats exist. However, denying the presence of a very large amount of super-spender Republicans is disingenuous and does not square with the hard data.
Speaking of hard data, people who see healthcare reform as a big spending bill need to look at some good, hard numbers. The Congressional Budget Office estimated that the new healthcare law will reduce the deficit by $1.2 trillion over the next 20 years. I put that in bold for a reason. Many of the Republicans who uniformly opposed passage of the healthcare bill voted for Medicare Part D, which was projected by that same office to increase the deficit by over $1 trillion over the next 20 years from the date of its passage.
I wish to hammer this home, and I damned well will: healthcare reform saves money.
You know what happens when an uninsured person ends up in the emergency room? We, the taxpayers, foot most of the bill. By insuring 95% of Americans, we are saving a heap of money. Them's the facts.
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As for the Tea Partiers, how am I supposed to take people who take their cues from Fox News and make it their business to call Obama a "Marxist" and a "Nazi" seriously? How am I supposed to do anything but shake my head in wonderment when these folks lionize a senator best known for shouting "YOU LIE!" at the President, or continue to spread reams of blatant falsities - ACORN engaging in fraud, "death panels," Obama not being an American citizen, et cetera...?
The simple fact is that these people are cut from the same cloth as the McCarthyites of yesteryear. It is no surprise that the John Birch Society is part of this frothing fray, and today's Tea Partiers follow many of the same patterns as yesterday's Red Scareniks: conspiracy theories, paranoia, bigotry against minorities, bubbling at the mouth about "socialists" and "Marxists" in the government, gun zealotry, and so on. To be sure, the right wing is no monolith, and these people come in shades: the general gist of the Tea Party seems to be closer to Fox Newsian cafeteria libertarianism with a strong whiff of Alex Jones than the sort of Bible-thumping, social-message right-winginess peddled by Republicans of the George W. Bush years. Nonetheless, a lot of these messages are coming from those same people.
The true hilarity in all of this lies in the fact that "Obamacare" is closest to... er... Romneycare. It very closely resembles the bill that Mitt Romney passed in his own state, and incorporates all sorts of ideas - such as the mandate - which Republicans supported or even invented in the years before they decided to oppose everything that Dems did and started screaming about how bad their own ideas were.
Regarding "Democrats are destroying the economy," please read some Keynes. It was deregulation - a Republican platform - that led to the current economic crisis. Stable economies require regulation, and solvent governments require accountable spending; these both seem to be things that Democrats are by and large better at than Republicans. In this sense, at least, it is indeed about left vs. right. Don't get me wrong: both parties are bad at being responsible. The thing is that Republicans are a lot worse.
Single-issue voting. It depends on how much that single issue effects your life, doesn't it? Trans and queer rights effect my life an awful lot, and a politician's record on that single issue can have a huge impact on how I view them. I care about far too many things to ever be a true "single-issue" voter, but I was ganged up on and beaten unconscious with two of my teeth knocked out because I'm queer and trans. I care a LOT about that issue, and I should, because experience has shown me that my physical safety is at risk. Would I vote for a right-winger who inexplicably had a solid record on trans rights? I wouldn't. I might consider it for a second, though, especially if I lived in an area where I felt myself to be at greater physical risk. Fists make for strong arguments.
I could go on and on, as many can on this subject. All I can say is that being trans and voting Republican is like being a sheep and voting for more wolves: it's, shall we say, a tad masochistic.