Paul Greenberg

No wonder people are nervous about this dramatic transformation of the American health-care system. As broken and bureaucratic as that (non)system already is, more layers of expensive bureaucracy and impressive deficits aren't likely to fix it. The American people know that. You can almost feel the groundswell of concern, not to say anger, about what this 2,000-page bill would mean, which is not at all clear.

The surest result of all that uncertainty could be a strong reaction against those senators who let this new and troubling approach to health care become law -- senators like Blanche Lincoln.

Yet the senator tried to depict her vote as no big deal -- just a vote on a procedural matter, "nothing more or less" than that. But the senator has got to know full well that procedure can be all when it comes to determining the outcome of a congressional debate, and in this case it is.

As a senator, Blanche Lincoln has always had the soul of an administrative assistant. She knows the wheels and gears and levers and hidden passageways deep in the great legislative machine, but not necessarily its purpose -- except of course to maintain itself and those who operate it. Nothing better illustrates how a narrow expertise can become the enemy of wisdom than this vote of hers Saturday night. Now she'll have many a morning after to reflect on its consequences. And so will the voters of Arkansas.

Whatever the ramifications of the new health-care system that finally emerges from all this confusion, Blanche Lincoln and her fellow Democratic "moderates" are going to be responsible for its passage. And no amount of talk about how they cast only a "procedural" vote is going to hide the fact that their votes let this thing get to the floor of the Senate.

As for those on the other side of the issue, they may not be happy with Sen. Lincoln's attempt to straddle the issue, either. They object to her saying she opposes a government-run insurance system. And in return they will oppose her.

It happens to politicians who set out to please those on both sides of a highly contentious issue: Instead they can wind up offending both sides. A fate they richly deserve.

Instead of taking a clear stand for or against this whole developing blob of a health-care bill, Sen. Lincoln may have waffled her way into political trouble -- and evoked the ire, or at least contempt, of the electorate. She may have been so slick this time she's outwitted herself.

Paul Greenberg

Pulitzer Prize-winning Paul Greenberg, one of the most respected and honored commentators in America, is the editorial page editor of the Arkansas Democrat-Gazette.