If your measure of the greatness of Obama is that he brought the United States from having just about the worst health care system in the developed world all the way to still having just about the worst health care in the developed world than I guess that's fair.

I don't look upon it as a great success.

It's not why I think he was a terrible president but it doesn't go in his triumph column.

No, it doesn't become a triumph because it would have been awesome if Republicans weren't such big meanies.

There are so many problems with health care. There are so many people that still can't afford the care they need to lead productive comfortable lives even after the current round of reforms. I know so many people who get their kids medical care but won't go to the doctors for their own problems because they really can't afford it, even with insurance.

I think pretending something great happened is a fantasy. Did some people get access to care that they really needed but could never have afforded before? Yes. Is that a good thing? Of course. Does our system work, is it affordable for vast segments of society? Not so much.

And no, I don't fail to understand that more people are insured than were before, or that people can't be denied for existing conditions or that you can keep your kids on your health care for longer. These are all good things but they don't add up to quality health care that is affordable many people. Costs went up 5% last year here. Most the plans that cover the recently insured are getting big hikes this year and some companies are pulling out of the market. Having expensive insurance so that you know your kids will be safe but that you won't use because you just can't afford it doesn't seem all that fantastic in my book.

Each of us has different values and a different perspective. I really don't understand why Obama's health care reform is looked at with such a glow. It's better than nothing but I don't think it's a profound change in a system that needs profound change.