I think that if someone gets sick in the United States, that person ought to be treated without being subject to a citizenship test. I think that abortion is a legitimate medical procedure. And ultimately I think health insurance should be directly provided by the government. Interestingly, the one thing that doesn’t get a majority is the thing that’s actually a bad idea—killing grandma.

This reminds me of something that’s bothered me throughout the health care debate. The president’s only real allies and advocates are, you know, serious liberals. People who think that people born in Mexico are human beings but fetuses are not. And most of all, people who believe in government-provided health insurance. But when we man the barricades for the president’s plan, we’re in a weird situation. Obama gets accused of wanting a single-payer system. Then I have to say “no! no! he doesn’t! that’s a slander . . . not there’s anything wrong with single-payer.” It’s a damn dirty lie to say that the government will fund abortion services, but really the government should fund abortion services.

Given the heinous dust that's been raised, it seems likely that end-of-life counseling will be dropped from the health-reform legislation. But that's a small point, compared with the larger issue that has clouded this summer: How can you sustain a democracy if one of the two major political parties has been overrun by nihilists? And another question: How can you maintain the illusion of journalistic impartiality when one of the political parties has jumped the shark?

I'm not going to try. I've written countless "Democrats in Disarray" stories over the years and been critical of the left on numerous issues in the past. This year, the liberal insistence on a marginally relevant public option has been a tactical mistake that has enabled the right's "government takeover" disinformation jihad. There have been times when Democrats have run demagogic scare campaigns on issues like Social Security and Medicare. There are more than a few Democrats who believe, in practice, that government should be run for the benefit of government employees' unions. There are Democrats who are so solicitous of civil liberties that they would undermine legitimate covert intelligence collection. There are others who mistrust the use of military power under almost any circumstances. But these are policy differences, matters of substance. The most liberal members of the Democratic caucus — Senator Russ Feingold in the Senate, Representative Dennis Kucinich in the House, to name two — are honorable public servants who make their arguments based on facts. They don't retail outright lies. Hyperbole and distortion certainly exist on the left, but they are a minor chord in the Democratic Party.

It is a very different story among Republicans.

Reverend Jackson and I were talking this morning about health insurance reform. He said ‘“Jesse, sum up this public option thing for me.’ I heard the President give an analysis that I think appropriate: Federal Express, UPS, DHL, the private option. The public option: email, the post office. If you want to pay your bill, sending it overnight for $30, choose the private option. But if you want to mail your mail like most of us do, WITH A STAMP (applause and laughter) use the public option…. The post office offers competitive overnight mail options. And those of us who are not interested in overnight mail can go the slow route, 2-3 days. That’s just fine for me. The post office is universal. It reaches the rural areas. It reaches the urban areas. It reaches where DHL, and UPS, and Fedex will not go. And so in the barrios and the ghettos and the trailor parks of our nation, for the uninsured in our nation, in order for us to save our health care system, we need a legitimate, real public option! (Cheering and applause.)

It would be, for instance, very uncouth to say that a coal-state senator who opposed climate change legislation was literally consigning thousands of people to death in order to protect hometown interests. That's a very mean thing to say. Senator so-and-so doesn't want to kill people, he just wants to be reelected. But that's what he's doing. He has constituents and polls and pressures. Similarly, a lot of the congressmen who are opposing health-care reform are, again, ensuring that tens of thousands of people will die from inadequate access to health care. But you're not supposed to say that [...]

...no one ever has to make those arguments directly because these debates take place at a high level of abstraction. That's how you get weird situations wherein a congressman who has spent two decades enriching industry and voting to cut Medicaid and welfare can be run out of office because he crossed an ethical line and had an affair or took a kickback. The moral dimension is entirely absent in discussions of policy, as if we've all signed some agreement admitting that the cost to civility would be too great if we took the implications of each vote seriously.