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The contrast between self-reliance and welfarism is the key insight of the book. Frum points out that negative behaviors like divorce, single parenthood, promiscuity, drug abuse, and chronic unemployment are now subsidized by the state and therefore have ballooned to nearly unmanageable proportions.
He realizes that actual budget and program cuts carry a heavy political price. Regardless, he believes conservatives should pay the price of unpopularity and speak the truth in hopes of someday winning a real victory, rather than a pyrrhic one where office is held, but nothing can be done.
In an interesting sideline, Frum takes time to survey the thinking of isolationist "paleoconservatives" who resent the current influence of the liberal-turned-conservative internationist "neo-cons" who changed allegiance during the Cold War. The intramural dispute is very interesting and extremely current with today's events.
Frum is one of the few writers who combines statistical analysis with insider history of the movement to create a dazzling policy book. This is one analysis that doesn't read like a stale pamphlet full of bullet points you've heard a million times. Besides that, Frum is probably the most talented conservative writing today. Pick up "Dead Right" and "How We Got Here: The Seventies" to see for yourself.