Edward Golberg of Baruch College, in today's Friedman column diagnoses the malaise of the Republican Party accordingly:
Globalization has neutered the Republican Party, leaving it to represent not the have-nots of the recession but the have-nots of globalized America, the people who have been left behind either in reality or in their fears . . . The need to compete in a globalized world has forced the meritocracy, the multinational corporate manager, the eastern financier and the technology entrepreneur to reconsider what the Republican Party has to offer.
Health care is one example of an area where government can play a productive role in supporting economic growth and human capital development.
Government intervention is only justified in the Right's worldview when the capitalist system is under threat (e.g. during ideological struggles with the Soviets, radical Islamists, etc.). They have no ideological context for coming to terms with the pressing national-economic needs of globalization.
Some on the left have a similar problem coming to terms with globalization but the left's solutions happen to be more pertinent at the moment. And, the anti-WTO, anti-trade wing of the Democratic party has receded, for the time being.