The questions we face -- whether to raise the minimum wage, restrict the availability of guns, expand health care coverage, and countless other decisions -- inevitably require us to define what we mean by a decent society.
Many of "us" want to ensure that immigrants have the same access to affordable health care and food that we all should have and to not continue to treat immigrants as the "them" through explicit exclusions from basic necessities.
Making people obtain and maintain health insurance is not the nanny state; it is grow-up time. The nanny state is what we have today, prior to full implementation of Obamacare, and what we have had since the 1986 passage of the Emergency Medical Treatment and Active Labor Act.
In taking on health care reform Obama made a very clear statement that community is an American value. It is how he chooses to defend and expand Obamacare that will dictate whether he is remembered for his commitment to community or to the special interests of Washington.
Out in the real world of health insurance, beneath the politicized debate about Obamacare, the vision of health insurance that conservatives have always championed -- high deductible plans that give consumers lots of "skin in the game" -- is steadily prevailing in the marketplace.
Either we continue on the track we're on, resigning millions of Americans to major health problems that could have been avoided, or we increase our investment in giving them the opportunity to be healthier and preventing them from developing chronic conditions in the first place.