Reagan got massive tax cuts and military spending increases thru a Democratic congress by taking the case to the people. Obama needs to "get some skin in the game" and take more of an active role in designing and selling any healthcare reform to the American people. If he could build public support for a reform package, the people would be pressuring Republicans to come on board rather than organizing protests all over the country against the reform. I think many Americans would support an expansion of Medicare if Obama could convince them that it wouldn't drive us even closer to fiscal insolvency. But he needs to make that case to the American public. Ever increasing deficits make that a hard sell. He's got to get the budget under control (IMO) before the public will support any increase in government. His policy of just ramming things thru and bribing anyone that's opposed has provoked a reaction that has inverted the 2008 election theme with the Democrats now viewed as the problem and Republicans the party of change, even in Massachusetts.