Matt Welch gets it right over at Reason
...above all else, Obama chose to shadowbox against the more extreme claims of the Sarah Palins of the world, rather than engage the most serious of the skeptics' arguments. No, the administration doesn't "plan to set up panels of bureaucrats with the power to kill off senior citizens," but what about the possibility of government cost-cutters frowning upon expensive hip replacement surgeries for the chronically old? No, the proposal doesn't amount to a complete "government takeover" of health care, but it does continue to expand the government's role (and, promises aside, expenses) in ways that make a deficit-whiplashed nation nervous. No, "no one would be forced to choose" a public option, but what about the argument that incentives would eventually push Americans from private insurance to the public plan?