In explaining the disastrous rollout of Obamacare, President Obama told Chris Matthews he had discovered that “we have these big agencies, some of which are outdated, some of which are not designed properly.” An interesting discovery to make after having consigned the vast universe of American medicine, one-sixth of the U.S. economy, to the tender mercies of the agency bureaucrats at the Department of Health and Human Services and the Internal Revenue Service. [snip] The paradox of this presidency is that this most passive bystander president is at the same time the most ideologically ambitious in decades. The sweep and...