Government outside SS, and various healthcare programs isn't any bigger now than it was a few decades ago. We are at 1950s levels of federal employee headcount, not adjusted for population growth, and since EPA there's not been that I can identify any big expansion of government power. So I'm completely unclear about what "lack of power" Democrats are blaming for what programs' failures. We're an army with a retirement plan and healthcare for the old and poor. That's about it.
I think you misunderstand me. I don't disagree with what you say here. Luckily, government growth rates have stagnated. We certainly have been lucky that no president has been very successful with their programs since the atrocity called the Patriot Act.
The ACA could have been a win, but it was handled in the usual abysmal governmental style and became a hybrid of good intentions and really poor execution. It makes for just another in a long list of failures when the government decided to take control of something. Pages and hours could be and often are wasted listing everything from public schools to medicaid to whatever else you want to get into.
We have a big government, but as long as the politicians continue to bless us with their failure, we won't expand to the point of open revolt just yet.
The last straw will be another couple decades of an economy that funnels more and more to the top slivers. Seems obvious to me that's a lot of what's driving Trump's popularity - he's a populist. He's not "conservative" in any sense of the word, running on UHC for goodness sake, which has broad public support. That's part of my problem - the programs Democrats favor almost all of the enjoy broad support, while slashing entitlements, killing off ACA, cutting Medicaid - the only people supporting that stuff are the top 5% or so, at best. The GOP would be a dead party if not for guns, abortion and social issues. Now immigration. Has little to do with government, except the GOP like you said cannot actually cut entitlements because it would hollow out the party if they DID what they sometimes say they want to do.
The thing about popular appeal is that it's a mile wide and an inch deep. A majority of the country thinks the GND sounds like a good idea ... as long as you leave out all details and don't discuss cost or payment in any way. A vast majority of democratic or democratic socialist ideas have this same appeal. It's all pretty and wonderful without the details.
Slashing medicaid and repeal of ACA would be great, as long as we actually saw replacement. I wouldn't support it unless it was directly packaged with a replacement plan. It's a very tough one because the negatives we suffer are the very reason we have top quality care and other countries can get away with pure socialized medicine. Our current system is broken, but it's where the money and advancements come from. There would have to be a system ready to go that still encouraged competition and improvement or the medical sciences would take a very detrimental hit (and our care, too).
IMO Trump is such a bad leader on these ideas because he is doing what so many other presidents and elected officials do to get elected, but he honestly doesn't have anyone else's best interest at heart. Obama made a lot of mistakes, but he really thought he was doing the best he could by the people he served. Trump does a lot of lip service to things like solving a crisis or whatever, but he is really just trying to get elected again. Even the constitutional separation of powers (a huge deal to libertarians) takes a backseat to this.
In the end, I believe in social programs and find them necessary. I think progressive taxes are evil, but required. I know there is a simpler and better way to provide all the things being discussed and promised. However, we are being served by people whose livelihood relies on promising the world to everyone and welching on that as soon as they get what they want. This means we get bigger government, run worse, and no incentive to do better.
Sorry for the long response. I'm very tired and being succinct is one of my first skills to go.