Opinion | Amy Coney Barrett on the Supreme Court Could Take Us Backward

It is true, as some conservatives argue, that this path toward social progress would ideally have been blazed by legislators, not judges. But it is difficult for people who are denied voting rights to protect their voting rights, and judicial passivism in these cases would have buttressed discrimination, racism, sexism and bigotry.

That brings us to another historical area where conservatives, Barrett included, have also been on the wrong side of history — access to health care.

Over the last hundred years, advanced countries have, one by one, adopted universal health care systems, with one notable exception: the United States. That’s one reason next month’s election is such a milestone, for one political party in America is trying to join the rest of the civilized world and provide universal health care, and the other is doing its best to take away what we have.

The G.O.P. is succeeding. Census data show that even before the Covid-19 pandemic the number of uninsured Americans had risen by 2.3 million under Trump — and another 2.9 million have lost insurance since the pandemic hit. Most troubling of all, about one million children have lost insurance under Trump over all, according to a new Georgetown study.

I’m not trying to scare readers about Barrett joining a conservative majority to overturn the Affordable Care Act. My take is that Democrats are exaggerating that risk; the Republican argument in the case, to be heard next month, is such a legal stretch that it’s unlikely to succeed fully, even if Barrett is on the court.

But it is possible, and that would be such a cataclysm — perhaps 20 million Americans losing insurance during a pandemic — that it’s worth a shudder. It should also remind us of the importance of renewing the imperfect, on-again-off-again march of civilization in America, away from bigotry and toward empowerment of all citizens.

Barrett is not a horrible person; on the contrary, she seems to be a smart lawyer with an admirable personal story. Yet she’s working with a gang of Republican senators to steal a seat on the Supreme Court. This grand larceny may well succeed. But for voters, this hearing should underscore the larger battle over the direction of the country.