How, voters will ask, can we cover 50 million new people without any new doctors or nurses? The answer is to ration health care, with the U.S. government deciding whom will get hip and knee replacements, heart bypass surgery and all manner of medical treatments. And what does rationing mean? It means that the elderly will be denied care, which they can now get whenever they want it.

You cannot cover the 50 million new people Obama seeks to cover without more doctors and nurses. But the administration and even the Blue Dogs in the House have proposed nothing to add to the supply of medical services even as they plan vastly to increase the demand by covering new people.

Ronald Reagan cut taxes to raise the deficit to stop liberals in future years from increasing spending. Obama will raise spending to raise the deficit to stop conservatives in future years from cutting taxes. As he funds every liberal dream - from alternative energy production to infrastructure renovation to more federal revenue sharing - he will force a massive expansion in the size of government for a decade to come.

More and more, the Democrats are not merely inconsistent, wrong and/or misguided - they are the worst of all possible things you can be in Washington: irrelevant.

Democrats are not about to nominate anyone who backs the tax cut, and Americans are not going to elect anyone who favors a tax increase.

Presidents generally do what they are good at in their first four years, then spend their second term responding to the agendas imposed upon them by events.

Spin is overrated. It is strategy, not spin, that wins elections.