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" ... These kinds of fears of long-term costs are what keep conservatives up at night in thinking about social policy. Liberals often seem to misunderstand that this is the nature of conservative objections to liberal policy proposals (at least among most intellectual conservatives). Obamacare triumphalists incessantly point to, for example, the millions of additional Americans with health coverage as evidence that conservative objections to the ACA were off-base. But the principled anti-Obamacare case has always been about long-terms costs—to American innovation, to economic growth, to federal budgets, to quality of care, and to promoting personal responsibility. ... "