At its core, it seeks to use government power not to regulate, but to benefit and even merge with, large corporate interests, both for political power (those corporate interests, in return, then fund the Party and its campaigns) and for policy ends. It's devoted to empowering large corporations, letting them always get what they want from government, and extracting, at best, some very modest concessions in return. This is the same point Taibbi made about the Democratic Party in the context of economic policy:I hadn't really talked about corporatism in other sectors of the economy, but Greenwald is right in pointing them out.
The significance of all of these appointments isn't that the Wall Street types are now in a position to provide direct favors to their former employers. It's that, with one or two exceptions, they collectively offer a microcosm of what the Democratic Party has come to stand for in the 21st century. Virtually all of the Rubinites brought in to manage the economy under Obama share the same fundamental political philosophy carefully articulated for years by the Hamilton Project: Expand the safety net to protect the poor, but let Wall Street do whatever it wants.
One finds this in far more than just economic policy, and it's about more than just letting corporations do what they want. It's about affirmatively harnessing government power in order to benefit and strengthen those corporate interests and even merging government and the private sector. In the intelligence and surveillance realms, for instance, the line between government agencies and private corporations barely exists. Military policy is carried out almost as much by private contractors as by our state's armed forces. Corporate executives and lobbyists can shuffle between the public and private sectors so seamlessly because the divisions have been so eroded. Our laws are written not by elected representatives but, literally, by the largest and richest corporations. At the level of the most concentrated power, large corporate interests and government actions are basically inseparable.
The health care bill is one of the most flagrant advancements of this corporatism yet, as it bizarrely forces millions of people to buy extremely inadequate products from the private health insurance industry -- regardless of whether they want it or, worse, whether they can afford it (even with some subsidies). In other words, it uses the power of government, the force of law, to give the greatest gift imaginable to this industry -- tens of millions of coerced customers, many of whom will be truly burdened by having to turn their money over to these corporations -- and is thus a truly extreme advancement of this corporatist model. It's undeniably true that the bill will also do some genuine good, as it will help many people who can't get coverage now to get it (though it will also severely burden many people with compelled, uncontrolled premiums and will potentially weaken coverage for millions as well). If one judges the bill purely from the narrow perspective of coverage, a rational and reasonable (though by no means conclusive) case can be made in its favor. But if one finds this creeping corporatism to be a truly disturbing and nefarious trend, then the bill will seem far less benign.
All I'd add is that they don't generally work too well, either. One of the reasons why America has foundered so badly in its conflicts abroad is because private military contractors are both more expensive and more likely to enrage locals than actual uniformed soldiers. The soldiers haven't benefited much, either; I still remember the stories from "Iraq for Sale" about how KBR (allegedly) used filthy, contaminated water in Iraq. And certainly the Wall Street/Washington connection has been absolutely disastrous.
Of course, it works quite well if all you care about is enriching yourself or your friends. But, again, that's where that conflict of interests come in. The rest of us have no stake in that. If that's your motivation, we won't support you.