"Look," the President said. "Even if we hadn't tackled health care, this was going to be a tough year." We were in the Oval Office, talking about how health care reform had become such a mess. It was the Friday before his first anniversary in office, the Friday before a Republican named Scott Brown demolished the assumptions of Barack Obama's presidency by winning Ted Kennedy's Senate seat and ending the Democrats' filibuster-proof dominance. It was a Friday when the President's decision to go all in on health care was beginning to seem like a disastrous gamble.