Win or lose, Obama has pursued health care reform as tenaciously as any president has pursued any domestic initiative in decades. Health care has now been his presidency's central domestic focus for a full year. That's about as long as it took to pass the Civil Rights Act of 1964, originally introduced by John F. Kennedy and driven home by Lyndon Johnson. Rarely since World War II has a president devoted so much time, at so much political cost, to shouldering a single priority through Congress. It's reasonable to debate whether Obama should have invested so heavily in health care. But it's difficult to quibble with Emanuel's assessment that once the president placed that bet, "He has shown fortitude, stamina, and strength."