We live in a world where as many as 440,000 Americans die each year because of preventable medical mistakes. With Prop 46, California voters can do what the politicians and the status-quo crowd won't: Nudge our healthcare system toward safer practices, deter doctor substance abuse and hold negligent physicians accountable.
Obama's heart certainly seems to be in the right place on this issue. But it will take more than a suggestion to an obdurate Senate to advance this reform. The public, polls show, overwhelmingly supports special health courts. But no change is likely to happen until there's firm leadership from the president, or a crisis.