Schambra's essay anticipated exactly what is happening on health care. Obama, budget director Peter Orszag and health czar Nancy-Ann DeParle grasp the intricacies of the health-care system as well as any three humans, and they could write a law to make it far more efficient.First, I think it's interesting that now that we have a president who is actually engaged in the act of actually creating policies, he's taken to task for it.
But now it is in the hands of legislators and lobbyists who care much less about the rationality of the system than they do about the way the bill will affect their particular part of it. Everyone has a parochial agenda. Senate Majority Leader Harry Reid, for example, wants to be sure a new cancer treatment center in Nevada has favored status.
Democracy and representative government are a lot messier than the progressives and their heirs, including Obama, want to admit. No wonder they are so often frustrated.
Second, rather than being doctrinaire and demanding of both his allies and opponents -- "my way or the highway" -- the president has been far too accommodating to the wispy ideal of bipartisanship, certainly in the face of the GOP opposition to everything he has proposed, usually because of the simple fact that he came up with it.
I think the president knows all too well how messy legislating is, and I really have a hard time believing that the worst thing a conservative intellectual can knock him for is that he's actually engaged in the details of governing.

