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It isn't about the substance, and it's only partly about presidential power.
They're already saying it might be impossible if Barack Obama hurts their feelings.
Because the truth is that the Affordable Care Act has ended up costing less than was originally predicted.
At the root of the uncertainty lies a pervasive doubt: whether the South can sustain the American Dream of each generation moving up and doing better than previous generations.
Do more for minorities and the poor, and you presumably risk driving social conservatives even further into the arms of Republicans. But ignore the needs of those who need more government activism and the Democratic base fails to turn out.