Cut costs and ensure enough primary care access first, then worry about the uninsured.

Even bloggers at the far-left Daily Kos get it: “Providing insurance doesn’t do you a helluva lot of good for people who don’t have any doctor to accept it.”

Obama is starting to realizing that’s his only option as he initially navigates through the rough health reform waters.

Given the backdrop of the recession, he has shifted his tone from covering the uninsured to cutting costs. This makes much more sense, as “four of five Americans are dissatisfied with health costs, while only 15 percent lack insurance.”

With out-of-pocket health costs rising for those with insurance, appealing to this middle-class majority will be much more effective in attempting to pass any meaningful reform legislation.