The Democrats believe in and pass federal programs that require coercion and the Republicans believe in and pass federal programs that require choice. Unfortunately, there's not a whole lot of difference in cost or outcome. They all require sending money to Washington and letting them design the program. I sometimes wish the Republicans were the cheapskates (with our money) the Democrats accuse them of being--but all they can do is decrease the rate of increase--which brings out the howls that Republicans hate the poor, women, gays and children. Health insurance costs were increasing at a lower rate under Bush than Obama, but they were still increasing.