The next big change came in 1992 with the nomination and election of Bill Clinton. His moderate platform was similar to his peers’, but his political style was a departure. The concept of a permanent campaign came to the White House. Every move was measured against its short-term political value to the president. The Clinton team launched personal attacks against policy dissenters and against women who brought charges of sexual misconduct against the president. In 1996, Mr. Clinton accused Republican nominee Bob Dole of “trying to destroy Social Security and Medicare” through his support of a bipartisan entitlement-reform effort Mr. Clinton himself had previously praised. By 2001, when Mr. Clinton left the scene, say-anything attack politics had become the normal order of the day in the Democratic Party.
President Obama brought hope of a more tolerant, less deeply partisan politics. But he was surrounded by Clinton alumni who, for the most part, kept on as before. His signature legislation, the Affordable Care Act, was introduced and passed only by Democrats—a sharp contrast to the bipartisan approaches taken by Johnson with his Medicare and Medicaid proposals, and by Ted Kennedy with his Medicare prescription-drug legislation. To pass ObamaCare, the White House and its allies launched a full-court press against all House Democrats, including moderates with doubts about its cost and coverage. The legislation passed narrowly, but 63 House Democrats lost their seats in the 2010 midterm elections. That left the body sharply divided between Republican and Democratic partisans, stalling the administration’s legislative agenda for the remaining six years of Mr. Obama’s presidency.