Winston Churchill – the statesman who defined champagne as “bottled sunshine” – often suffered bouts of deep depression.  He called that frequent companion his “black dog.”   After their drubbing in 2008 and Obama’s legislative tsunami – pausing, not ending in the enactment of the healthcare reform bill – some Republicans appear ready to settle in for a long political winter with Churchill’s black dog curled up at their feet.

Former presidential speechwriter David Frum, apparently eager to hug the black dog, wrote that the passage of Obamacare is the Republicans’ Waterloo, and that while they may retake the House or Senate this November, that wouldn’t matter because “This healthcare bill is forever.”

Frum merely gives voice to the thinking of the Old Republican Establishment.  They are comfortable in the minority, smiling – as former House Minority Leader Bob Michel used to – at the inability to direct national policy, adept at getting re-elected without the burden of leadership.

Frum’s reference to Waterloo is almost apt.  But the enactment of Obamacare isn’t the Republicans’ Waterloo.  If Frum knew his military history, he’d see it not as Waterloo, but as Marengo: a defeat that turned what could have been a devastating defeat into a crushing victory for Napoleon in June 1800.

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Attempting to enact his big-government health care scheme, President Obama and his supporters frequently claimed that a “majority” of doctors supported his health-care plans.  When the American Medical Association – which had opposed HillaryCare – signed onto Obama’s plan last year, the organization seemed to make the President’s case.  Most people assumed that the AMA represented most of the doctors in the country.  But in fact, the AMA represents less than 20 percent of all physicians in the United States.  And yet as the organization’s leadership moved more to the left, it held a near monopoly on media attention on issues pertaining to public health.   No longer.

As the AMA has become increasingly politicized in recent years – issuing a statement in support of climate change, for example, in 2008 – a new group of doctors has risen to challenge them.  Like other anti-statist groups that have risen in opposition to the Obama-Reid-Pelosi agenda, Docs4PatientCare are challenging the AMA’s stranglehold on health care matters, just as other groups once challenged the right of the left-leaning American Bar Association to determine what judges are and are not qualified for the United States Supreme Court.  How Docs4PatientCare managed to barge its way into the closed-door meetings of Washington offers a lesson to other groups seeking to have a voice in their federal government.

Founded by Dr. Hal Scherz, a prominent Atlanta physician, the group of doctors expressed concern that like so many other professional groups, the AMA’s leadership have been  thoroughly “Washingtonized” – caring more about the pleadings of other lobbyists on K Street, White House invitations and Capitol Hill committee appearances than the professions they are supposed to represent.  As doctors have taken a battering over several decades from insurance companies, HMOS, and government agencies, Scherz says the AMA was a bystander.

“As the insurance companies become more and more impossible and government intrusion keeps growing, we’ve seen our delivery of care to our patients compromised and our incomes decrease,” he said.

But it was the AMA’s support for ObamaCare that really troubled Scherz and others in his field.

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