As is usually the case when the public speaks this loudly, the people are right: The process that produced House & Senate bills was an abomination.

David Ignatius has a excellent idea on how Obama can break the impasse that now exists -- through his own participation, contribution and lack of leadership --with health care in the context of America's biggest problem of political dysfunction, where our system isn't fixing problems that people care about such as health care.

His ideas come from a former chief executive of the Mayo Clinic the current chief executive of the Cleveland Clinic. Read his column for the specifics.

In discussing the health care legislation, he writes in The Washington Post:

Bay State reporting suggests that voters liked Obama well enough but they rejected the health-care monstrosity that has emerged in Washington after a year of congressional logrolling and special pleading. Judging by anecdotal evidence, people seem worried that the legislation will disrupt their existing care and balloon the deficit -- without really reforming the system.

As is usually the case when the public speaks this loudly, the people are right: The process that has produced the House and Senate bills has been an abomination. The voters sent Obama to Washington to lead, not to engage in endless horse-trading. When Sen. Ben Nelson demanded a tax exemption for his state of Nebraska as the price of his vote, that should have been a sign to the White House that the process had gone haywire. Instead, the administration agreed to similar buy-offs for the insurance industry and labor unions.