The top priority of every first-term president is to become a two-term president. Since healthcare reform was Obama’s central domestic campaign promise in 2008, he must pass a healthcare reform bill of some kind before 2012. With large majorities in the House and Senate, along with the momentum of a fresh election victory, 2009 is the year in which a bill is most likely to occur. Failure to pass a healthcare bill will be seen as a major defeat and encourage members of Congress to distance themselves from a president seen throughout Washington as weak.
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