David Harsanyi

On the flip side, so far, reform legislation has been devoid of any meaningful market-based solutions that would spur a healthier private-insurance sector, guaranteeing consumers will see rates rise and Democrats will have a boogeyman to point to as they "fix" the bill down the road.

I remember asking liberal Rep. Diana DeGette of Colorado -- after she, for the umpteenth time, claimed that Republicans had presented no ideas in the health care debate -- what she thought of the GOP bills in the House at the time. She replied that they were too small and not "comprehensive" enough to really matter.

Now, apparently, small is OK. Why? It never has been an issue of how comprehensive a plan is, but how invasive it could be.

And no matter how many iterations of health care "reform" are foisted on the nation by Democrats -- or what the exact dimensions of those iterations may be or how many public relations angles are deployed to sell them -- the core issue has not changed.

Though, it is clear, the tactic of incremental "progress" has been relearned. Don't be fooled. The endgame has not changed.

David Harsanyi

David Harsanyi is a senior editor at The Federalist and the author of "The People Have Spoken (and They Are Wrong): The Case Against Democracy." Follow him on Twitter @davidharsanyi.