Karl Rove advises against Obama’s jump-in-front-of-the-cameras reflex:

To turn things in his favor, Mr. Obama needs to start thinking about making substantive concessions that will really improve health care. He could adopt Republican proposals to allow people to buy insurance across state lines, permit small businesses to pool risk to get the same discounts large employers receive, and crack down on junk lawsuits through medical liability reform. By doing so, he’d actually be lowering costs and expanding access instead of just pretending to—and at an infinitesimal fraction of his proposal’s cost. Americans have taken the measure of Mr. Obama’s health-care plan and, as his falling poll numbers attest, increasingly don’t like it. His health-care initiative is not only losing public support on its own merits; it is diminishing Mr. Obama’s credibility. Most amazing of all, the president’s constant chattering runs the risk of making him boring and stale. His magic dissipates as he becomes less interesting. Mr. Obama doesn’t need more TV time. He needs a new health-care plan that comes from actual bipartisan negotiation and compromise—one that most Americans see as something that will actually improve their health care. He needs his facts to align with reality. More talk doesn’t automatically lead to greater public support, but it can erode public confidence in your leadership. Mr. Obama is capable of flooding the airwaves with his words. But what he needs most is a message that wins the attention and support of most Americans.