His incessant talking cannot combat what it has caused: An increasing number of Americans do not believe that he believes what he says.

He says America’s health-care system is going to wrack and ruin and requires root-and-branch reform—but that if you like your health care (as a large majority of Americans do), nothing will change for you. His slippery new formulation is that nothing in his plan will “require” anyone to change coverage. He used to say, “If you like your health-care plan, you’ll be able to keep your health-care plan, period.” He had to stop saying that because various disinterested analysts agree that his plan will give many employers incentives to stop providing coverage for employees.

He deplores “scare tactics” but says that unless he gets his way, people will die. He praises temperate discourse but says many of his opponents are liars. He says Medicare is an exemplary program that validates government’s prowess at running health systems. But he also says Medicare is unsustainable and going broke, and that he will pay for much of his reforms by eliminating the hundreds of billions of dollars of waste and fraud in this paragon of a program, and in Medicaid. He says Congress will cut Medicare (it will not) by $500 billion—without affecting benefits.

He says the nation’s economic health depends on controlling health-care costs. Yet so important is the trial bar in financing the Democratic Party, he says not a syllable in significant and specific support of tort reforms that could save hundreds of billions of dollars by reducing “defensive medicine” intended to protect not patients from illnesses but doctors from lawyers.