Barring a major public groundswell or miraculous reversal in Congress, Barack Obama's healthcare reform package will not include the provision that matters most to the Democratic base, the so-called public option. Why has a president who entered the White House with the second-biggest winning margin of any Democratic president since the New Deal, and who is blessed with solid Capitol Hill majorities in both chambers of Congress, struggled to save this key agenda item?

Was the White House's public relations rollout insufficient to counter the stronger-than-anticipated resistance from healthcare opponents? Was the public option always just a bargaining chip to give away in exchange for what the president really wants? What happened to the vaunted Obama campaign apparatus, which was...