Jonathan Cohn argues that Obama care will look more like Netherlands or France than Canada or Great Britain's. And, he says that anyone who suggests otherwise is a liar. This seems intemperate. It may certainly be that Obama is aiming for France but he still is more likely to hit Canada, whatever the specifics of his proposal. The culture and political institutions of a country are going to determine what a national health care system look like in the long run more than the details of the current proposal--not that those aren't bad enough.