Jacob S. Hacker says if reform is to succeed, progressives will have to fight for a stronger government role, including a public option:

Sen. Tom Harkin put the point well when he described the health bill as a “starter home.” What Harkin neglected to mention is that the home isn’t built yet, and the construction zone is in the path of a hurricane — the fast-approaching storm of runaway health costs and hard-core conservative opposition.

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