Reforming the health care system while Rome burns

The Daily Dish By Andrew Sullivan:

Late empires are known for several things: a self-obsessed, self-serving governing class, small over-reaching wars that bankrupt the Treasury, debt that balloons until retreat from global power becomes not a choice but a necessity, and a polity unable to address reasonably any of these questions - or how the increasing corruption of the media enables them all.

Obama is, in some ways, a test-case.

He was elected on a clear platform of reform and change; and yet the only real achievement Washington has allowed him so far is a massive stimulus package to prevent a Second Great Depression (and even on that emergency measure, no Republicans would support him). On that he succeeded. But that wasn't reform; it was a crash landing after one of the worst administrations in America's history.

Real reform - tackling health care costs and access, finding a way to head off massive changes in the world's climate, ending torture as the lynchpin of the war on terror, getting out of Iraq, preventing an Israeli-led Third World War in the Middle East, and reforming entitlements and defense spending to prevent 21st century America from becoming 17th Century Spain: these are being resisted by those who have power and do not want to relinquish it - except to their own families and cronies.

What more to say? If we are going to move forward, and upward, from where we are, rather than simply spiraling downward, then we must find a way over, around, or simply through the ruling class that would rather pilot the plane into the ground instead of handing over the controls to someone who actually knows, and cares, how to fly it.