A brilliant piece of analysis. I'm unsure about the full implications of the "not a dime" pledge (I hope David's right). But I am sure about the political strategy: get universal healthcare now, begin the process of cost-cutting, get insurance exchanges on the ground and running ... and do it all in as inclusive and moderate a way as possible. I think Obama will pull this off - not easy when a third of the country seems to have lapsed into total ideological hysteria. Our job then will be to hold his fiscal feet to the roaring fire.
We want to hear what you think about this article. Submit a letter to the editor or write to firstname.lastname@example.org.