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One telling moment in the 18-month health care debate was at the White House Summit. Sen. John McCain (R-Ariz.) reminded President Barack Obama of his campaign promises to "bring us together" on health care.

"We're not campaigning anymore," the president said, "the election is over." The next question should have been, "Does that mean your campaign promises are null and void?"

Enough time has passed, and enough actions seen, to conclude that Obama ran as one kind of president but is governing as a very different one.