Paul Waldman reflects on Congress' historic vote on comprehensive health-care reform, after months of negotiations and decades of failed attempts. At long, long last, the health-care reform fight is finally over. We have no idea how Barack Obama's presidency will turn out at the end, but we know this: He accomplished something that stubbornly eluded Democratic presidents -- and even one Republican -- for decades. The remainder of his term could be a string of defeats and disasters, yet it cannot be taken from him that he passed this nearly impossible test of skill, patience, vision, and sheer will. Over the course of this debate, progressives have gotten used to beginning their comments on the various reform plans by saying, "It's not everything that I'd want, but...." And of course the bill that finally passed isn't perfect, which is why we should continue working to improve it in the coming months and years. But it is something extraordinary nevertheless. The passage of health-care reform is a huge benefit to lower- and middle-class Americans; finally, there is something resembling health security for all of us. Some of the most despicable misdeeds of the insurance companies have been put to an end, and a raft of programs have been put in place to help rein in costs. And that's just a few of the legislation's achievements. Millions upon millions of American lives will be improved by what Congress and the White House just did. This effort will be remembered as one of the most anguished legislative battles in history, alongside the Civil Rights Act, the Federal Reserve Act, the creation of Medicare, and a few others. The positive outcome is not enough to restore one’s faith in the American political system, because the process did so much to destroy that faith. American politics has never been particularly reasonable or reasoned, but this debate saw a plague of demagoguery, fear-mongering, and outright lies that puts anything most of us can remember to shame. KEEP READING . . .