Obama is quite right to point out that the finances of the United States and the economic health of the nation absolutely demand that we get a handle on health care costs and do so in short order. To this material imperative, one should add the moral obligation we all have of finally addressing the human needs of our fellow citizens in an adequate way. But there is a yet more pressing reason why the system must be reformed this year, a political reason. What’s at stake is the future of the nation as a going concern. It’s not just that defeat of health care in the face of a clear public mandate for change would be a clear proof that the nation is not even minimally democratic. Such an outcome would also and disastrously represent a victory for overt corruption and blatant thuggery. Can we really afford so dramatic a demonstration that our legislature is under the thumb of silver-haired whores and semi-literate ideologues? And what kind of a society can we expect to evolve into if we allow the disruption of our political debate by mobs of crazy, potentially violent, and heavily armed people who have been whipped into nativist fury by nonstop black propaganda? If incredibly cynical P.R. men really can convince people that the majority party in the United States is out to snuff your grandma, we’re simply toast.