“At the end of the day, it wasn’t small government ideology that killed this bill. Mitch McConnell’s crafted backroom solution couldn’t even get the support of Jerry Moran. The joint announcement yesterday that neither he nor Mike Lee could support this bill was a kindness, saving face after it became clear this was headed toward defeat – and not because of Ted Cruz, who was always going to get to yes, but because of a collection of moderates who spent years lying about their opposition to Obamacare for political reasons. Murkowski, Hoeven, Capito, Heller, Portman, and Collins wanted to have it both ways: they wanted to defend the Medicaid expansions that bolster the budgets of their states while making noises about fixing the private insurance markets that have devastated their middle class. This is a failure of imagination and policy, and a reminder that moderation does not equate to intelligence.