This is willful naivete. Obama cannot possibly believe that we can spend $1.5 trillion dollars and force (according to the CBO) tens of millions of people off private insurance without causing pain. He can't believe that there will not be some kind of health care rationing if millions of Americans join a government-run program. Is he aware of the country called "Canada"? Has he seen the problems caused by the public program in Massachusetts, where costs have run at twice the original estimates?