Health-care reform is historic, surely the most significant social legislation passed since Medicare. But it is a flawed and conservative bill, akin to the reforms Mitt Romney championed as the Republican governor of Massachusetts. It gives the insurance companies millions of new customers with no public option or Medicare buy-in to help put a lid on costs. It sustains the outrageous law that prohibits Medicare from negotiating bulk discounts for prescription drugs. It sustains the exemption of insurance companies from antitrust laws. This reality — a historic reform that isn't strong enough to get the job done — is characteristic of the Obama administration, a progressive-centrist government in a moment that demands fundamental reform.