Washington Post: Obama has lost his grip on reality.

On health care:

On this issue, elected Democrats are desperate for leadership. They want to avoid total defeat on last year’s highest legislative priority, while pivoting swiftly to the economy. Obama gave no indication of how this feat will be accomplished. Instead, he called attention to his own virtue, foresight and tenacity in pursuing the issue. His approach was entirely self-centered. Democrats in tough races can only conclude that the president is indifferent to their political needs. On health care, it is every Democrat for himself.

More:

Barack Obama has lost his promise. He has lost his momentum. He has lost his touch. He has lost his filibuster-proof Senate majority. He has lost his first year in office.
Tonight, he lost his grip on reality.