Should we tell ol' Krugman?....

Money, Paul. Lot's of (campaign) bribe money, duh!!!

Ron Wyden, Useful Idiot - NYTimes.com

Oh, and if someone starts talking about how the Affordable Care Act relies on private insurers, give me a break; the reason the ACA works the way it does is the raw power of the insurance industry, which forced advocates of universal coverage to settle for an inferior system. I still think that deal was worth doing, but there’s no reason to take Medicare, which does it right — or at least closer to right — and degrade it into a worse system.

So why would anyone who isn’t a right-wing ideologue propose that kind of degradation? Inquiring minds want to know.