The Bluetick Coonhound was breed and developed in the Southern USA. The Blue Dog Democrats became known as such because they primarily originated in the Southern USA.
The Blue Dogs came to prominence during the administration of Harry S. Truman as they replaced Republicans with Democrats for the first time.
They are known primarily for fiscal conservative measures, however, under the "W" administration they have wandered too far right and now are placing their own constituents 'at risk' because their ideologies are unable to see the forest for the trees. So, the question is, "Are they still able to be flexible enough to make that left move from the hard right to save their constituency from peril?"
There is doubt in regard to this cultural divide and they need to examine their conscience while being a 'swing' vote taunted by Republicans. It might be that 30 years of Republican fiscal policy not only caused the country to bankrupt the banking system, but, also bankrupt the American people out of 'moral content' for the sake of capitalist policy that simply doesn't work in areas of life where 'supply and demand' are unrealistic.
The 'idea' that Americans could get attention by doctors to enhance their lives developed in the 20th century. It is difficult to pursue life, liberty and happiness of an American isn't well enough to do it. Persons that 'suffer' fiscal strain due to health care costs cannot effectively contribute to an economy and will ultimately cost the country its tax base. Health care policy in the USA has to be a mandate providing every American a chance to contribute to their country's fiscal well being.