David Harsanyi

Let's add this news to other iffy rationales for passage. Once we remove illegal immigrants, those who can afford insurance but choose not to buy, and those eligible for other government programs, that amazing 30 million to 50 million of "uninsured" becomes a more manageable 9 million.

Remember, despite the incessant complaints about our flawed system, once experts such as Dr. Scott Atlas at Stanford's Hoover Institution removed inputs that had nothing to do with care, the U.S. led the world in life expectancy and in almost every survival rate.

So even before we touch on cost, the long-term effects, rationing, the way the bill was passed, or the constitutionality of reform, the very justifications for passage suffer from a serious "messaging" problem.

Then again, when your messaging problem is really just an honesty problem, it's not going to get any easier.

David Harsanyi

David Harsanyi is a senior editor at The Federalist and the author of "The People Have Spoken (and They Are Wrong): The Case Against Democracy." Follow him on Twitter @davidharsanyi.