The point buried in this article is the following: “[t]he majority of our representatives may congratulate themselves on reducing the number of uninsured, while quietly understanding this can only be the first step of a multiyear process to more drastically change the organization and funding of health care in America. I have met many people for whom this strategy is conscious and explicit.” Once the madate is in place, the game is over. Fight the mandate, not the “public option.”