The real danger to President Obama comes not from the knee-jerk nihilism of Rush Limbaugh, but from within the Democratic Party. Obama, who famously observed as a candidate that a president has to be able to do more than one thing at a time, has rejected internal counsel to postpone his healthcare proposal in favor of a single-minded focus on the economy. Recovery is obviously a central test for him. But as he sees it, his mission is not simply to undo Republican damage; it is to achieve the fundamental change, including health care reform, for which he campaigned.

Several of Obama’s most impressive economic advisors, including OMB director Peter Orszag and Jason Furman, director of the National Economic Counsel, have argued in the past that national health care should be paid for by taxing employer-provided health insurance. Without endorsing such a policy, Orszag told a Senate committee recently that the idea “should remain on the table.” The Senate Finance Committee Chairman Max Baucus and Oregon Democratic Senator Ron Widen actually want the health care tax included in a final bill.

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Robert Shrum has been a senior adviser to the Gore 2000 presidential campaign, the campaign of Israeli Prime Minister Ehud Barak, and the British Labour Party. In addition to being the chief strategist for the 2004 Kerry-Edwards campaign, Shrum has advised thirty winning U.S. Senate campaigns; eight winning campaigns for governor; mayors of New York, Los Angeles, Chicago, Philadelphia, and other major cities; and the Democratic Leader of the U.S. House of Representatives. Shrum's writing has appeared in the Los Angeles Times, The New York Times, The New Republic, Slate, and other publications. The author of No Excuses: Concessions of a Serial Campaigner (Simon and Schuster), he is currently a Senior Fellow at New York University's Wagner School of Public Service.