In 1994, the Clinton administration lost three key constituencies for health care reform. They lost Congress. They lost the public. And they lost the business community. The key to the congressional failure was Ira Magaziner and the sprawling, task force-driven process he engineered. Magaziner didn't understand Congress and, today, I find it impossible to interview a member of the chamber about health reform without having them angrily digress onto his failures. To avoid this mistake, Barack Obama has nominated Tom Daschle, who understands Congress as well as any individual alive, to head his health reform effort. Daschle has already begun private meetings, with Senate Democrats and Republicans alike, to begin the process of building support. The key to the public was the media strategy. And they didn't have one. Who spoke for health reform, aside from the president? His wife? His chief technocrat? The hint this week was that the Obama administration has begun laying the groundwork for a far more sophisticated media operation, selecting Sanjay Gupta, TV's best known medical commentator, to serve as surgeon general and offer advice on health reform. What has not yet been hinted at is their strategy for securing the support of, at the least, some of the business community. The story of business's abandonment of Clinton's plan was complicated, but much of it came in response to the plan's employer mandate, which particularly terrified the small business community. I've not heard much on the Obama administration's thinking for securing business support. But that's a leg of the stool that people should be keeping a close eye on. It's also the leg that will be the trickiest. Congress fell apart because the process and diplomacy was so terribly flawed. Public support collapsed because the communications strategy failed. But with the business community, there was a clash of interests. They wanted the benefits of reform and none of -- or at least fewer of -- the costs.