“Despite our best efforts to explain, many Americans are simply finding it too hard to square adding a trillion dollars as part of a strategy to cut costs,” I wrote to the president in an August memo. “They suspect that this is about spending and taxing more to take care of someone else. And even if they see universal coverage as a laudable goal, they think it’s irresponsible to undertake it now—a liberal indulgence we can’t afford. To them, our determination to plow forward on an expedited timetable in the midst of a fiscal crisis is not sensible. It aligns us with the Washington they
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