Herein lies the problem IMHO. Obama spent a great deal of his first year in office and of his political capital to push health care reform. In the end, after all the interest groups got their hand on the product, we wound up with a law that is ambiguous and no one can understand, or fully appreciate. The benefits are unclear, as are the potential downsides. Virtually everyone who tries to explain it is coming from a hard right or hard left viewpoint, and their conclusions are suspect at best. In other words he blew his best opportunity to bring the change he sold to the public, on something that satisfied neither the left, the right, nor the middle.