The President's health care "reform" package has been deader than Social Security reform for weeks, and yet Mr. Bush remains atop his charger, madly taking on windmills wherever he can find them. The latest tilting was spotted at the American Hospital Association meeting in Houston, wherein Mr. Bush once again called for more Health Spending Accounts, malpractice tort reform, increased investments in technology...

Sen. Trent Lott (R MS) was seen yawning.

When Bush's hometown paper and staunchest supporters both are less than positive about his so-called health care plan, it is truly dead.

Thank goodness.

Meanwhile, many states are taking control of their own destiny. One of the more intriguing efforts is West Virginia's AccessWV program , which enables high-risk people to obtain insurance at somewhat affordable premiums, and by all accounts is working well. Although the premiums for AccessWV can be pretty high, the program is the best alternative for individuals and families unable to get coverage due to health conditions.