We have sufficient data points to indicate to progressives that the Democratic Party under Obama has no interest in viable, sustainable consensus solutions to the problems of unemployment, Afghanistan or Iraq, the financial system, big pharma or the death grip of health insurers, part of the finance sector itself.

When the Democrats have laid out on the table their desperation for a bill, they gave up their negotiating position. And by forfeiting any principle other than a win, they’ve trashed the values upon which they were elected.

Things are bad now, but they can be made worse. If the health insurance welfare act of 2010 is enacted into law, odds are that the Democrats will not be in any position to amend bad law to improve it. To the contrary, cutting Medicare, off loading Medicaid requirements on cash strapped states, and imposing an individual mandate to purchase private insurance cannot be mitigated by the vestigial public options that remain on the table.

Obama has shown his hand in that he privileges his promise that people can keep their current plan over his promise to bend the cost curve. Pelosi ran interference for this when she denied Weiner’s vote on Medicare for All, claiming that it would violate the president’s promise.

In the absence of a viable Republican challenge, the Democrats have taken steps to occupy the vacuum left by their excised, formerly "legitimate" wing. This has meant that the center of gravity within the Democrats is represented by Rahm Emmanuel, and that the party leadership sees themselves as capable of being ensconced as the party of corporate America, picking up the Reagan project of class warfare where the GOP faltered.

If we must choose between providing a partial modicum of burdensome health care to a few tens of millions of people that is predicated on bailing out the health insurance vampires, then my read is that it is better to figure out a way to kill the vampires than to guarantee them a permanent supply of blood, building on Bush II’s Medicare, Part D, as in debacle.

There is not going to be a public option that comes anywhere near close to accomplishing the goals that progressive emotions have invested in it. It will not even be a toe hold towards that. Fewer people will die needlessly if the health insurers are allowed to continue down their current path and literally choke on their own greed by raising prices and denying treatment. As the economy continues to falter, then it will be the business that employ people in what productive capacity is left which will be at the forefront of demanding health reform to preserve their dwindling profits.

Obama must fail on this so that he can be taught a lesson from the left that there will be no free ride, that a third Bush administration will not be tolerated, that bailouts for the corrupt financial sector cannot masquerade as economic policy. Unless progressives can identify a populist challenge to Obama’s inclination to take us for granted, he will continue to service his corporate patrons and will most likely forfeit his majority to the tea baggers.

If we have to choose between offering up crummy health care to tens of millions through artifice, coercion and subterfuge thus giving the store back to the wing nuts, and doing nothing, then the clear choice is to do nothing.