Rich Baehr's Obama speech preview at PJM

To be sure, the president's approach at this stage is certain to be political - meaning the only goal, given how he has staked his presidency on passing health care reform, is finding a way to get the votes needed in the House and Senate to pass something that he can sell to the public as real reform.  At a minimum, that package will have to include some insurance market reform that significantly whittles down the number of uninsured and provides greater security to individuals that they will be able to buy insurance (regardless of pre-existing conditions) and can keep their insurance if they become very ill.

With new estimates of federal deficits averaging close to a trillion dollars a  year for the next ten years, unemployment hovering near the 10% level, and polling data suggesting that twice as many Americans are concerned about addressing  the federal deficit as  health care reform, the administration is almost certain to scale back the size of the package it will accept.  That means that the goal of universal coverage may be scrapped and federal subsidies to assist the uninsured to purchase insurance will be provided to those at  lower income levels and not become the broader middle class entitlement the administration sought (higher income levels for subsidies helps create  an expanded class of voters feeling allegiance to the party that has delivered the "goodies").