One party rule

Simply put, so-called "centrist Dems" are on the wrong side of the health care reform debate and need to be treated as such. The mistake that most on what passes for the left make in an environment like this is to assume that they have the sympathetic ear of the party in power. In truth, we are governed by a bi-partisan permanent majority coalition of money power. Anyone on the outside of that needs to yell and yell loudly if they want anything done. And even then, good luck to you.