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I stongly believe that on most issues, the end result is the same. You mentioned healthcare, and I think that we would all like it if everyone had coverage. The difference, as has already been stated, is how we get there. The reality is that as the economy and national and international situations change, the actual solutions change. Which is part of the reason one party or the other is dominant.
The big divide does seem to come from differences on social issues. Abortion, civil rights, gun control, religion etc. These issues are the ones that tend to cause the big rifts and the nastiest fights. If you look at the divide between our two parties and those of some other countries, you realize how truely similar our parties are. We are just Americans, and frankly Americans love to argue.
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Human beings, who are almost unique in having the ability to learn from the experience of others, are also remarkable for their apparent disinclination to do so."
-Douglas Adams
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