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And finally, getting broad public support for change requires broad political support for change. So remove the poison that is blocking bipartisanship. The most poisonous element right now is a government-run public plan constantly demanded by liberals. That will undermine the private coverage of millions and is unacceptable to Republicans and even many Democrats. The public plan has to go.

We must and can get health reform. But it will never be achieved if Americans are pressured to agree to Big Bang change on a ridiculously short timetable - and based on central planning, rather than on better incentives for American creativity and federalism.

Stuart Butler is vice president for domestic policy issues for the Heritage Foundation.