Interesting point from a reader:

I’m no Psych major, but Obama’s push here seems to me more than a little like he is trying to “legitimize” the very make-work-like things he and his wife became wealthy doing. Hospital Outreach? Community Organizing? Please.
But if you can turn such things into a national and even patriotic crusade, well then they we just the early pioneers, who saw the need and value way before any of the rest of us.