The Five Big Health-Care Dilemmas

Max Baucus, the Senate's point man on health care, sounds supremely confident when he talks about the odds that Congress will pass its most sweeping piece of social legislation since the New Deal. "Meaningful, comprehensive health-care legislation passes this year. That's a given," he declares, sipping a bottle of water in his functionally furnished hideaway office just steps from the Senate chamber. "It's gonna pass. It's gonna happen. There's no doubt about it."

The rest of us might be forgiven if we view Baucus' prediction with a little more skepticism. After all,...