By ROBERT J. SAMUELSON Posted 09/29/2009 06:11 PM ET

What’s driving the great health debate of 2009 is not a popular clamor for universal insurance.

“Many Americans are balking again at the prospect of health care reform,” writes pollster Andrew Kohut of the Pew Research Center.

A new Wall Street Journal poll found 41% of respondents opposed to President Obama’s proposals and 39% in favor (the rest were undecided). The underlying driver is politicians’ psychological quest for glory.

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