Bernstein lists eight ways Republicans have hurt the healthcare law:
I definitely don’t think the president and his administration should be let off the hook for the very real problems that have plagued the program this month.
Nevertheless, it’s worth noting that whatever their own responsibility for what’s gone wrong, the White House shares responsibility with the Republicans who have spent three years actively attempting to undermine the law. I’m not talking about repeal votes, which (while silly after a while) were totally legitimate, or about running against the program in subsequent elections, which was again entirely fair. No, I’m talking about actions designed — usually openly — not to make the law work better in their view, but to make it harder for the law to work well.
While some of these had obvious direct effects, most of them did not. And it’s hard, in most cases, to draw a direct causal line between disruptive actions and specific malfunctions in the Web site. Nevertheless, it’s hard to believe that any of these actively helped make the program run smoothly, and very easy to believe that the cumulative effect had at least some part to play in the October fiasco.
Aaron Carroll makes similar points:
There have been books, webinars and meetings explaining how to sabotage the implementation of Obamacare. There have been campaigns trying to persuade young adults not to use the exchanges. It is, therefore, somewhat ironic that many of the same people who have been part of all of this obstructionism seem so “upset” by the fact that people can’t easily use the exchanges.