"I am not the first president to take up this cause [of health care reform], but I am determined to be the last one," President Barack Obama declared in September. But, notes Reason Foundation Senior Analyst Shikha Dalmia in her latest Forbes column, history will force the president to eat his smooth bravado if he signs anything resembling what's on the table right now.

Far from settling the issue once and for all, the bill will usher in even fiercer confrontations—not only on health care but on constitutional matters of governance as well—that will make the current battle look like the political equivalent of a spit-ball fight.

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