The passage tonight in the House of Representatives of the Senate’s health-care bill is indeed a historic moment. It draws the brightest ideological and political line between the two parties since the end of the Cold War — which featured a profound conflict of visions about the question of confronting the Soviet Union or accommodating it — and revivifies the Republican party’s role in opposition to the state’s growing encroachment on the particulars of American life. The fighting has only just begun.

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