Excerpt: The White House has been dropping hints that the president will make health-care reform the centerpiece of his State of the Union address. The Bush administration's health care record is, to put it delicately, inconsistent. It has supported efforts to remove government influence over the health care sector, such as health savings accounts (HSAs). On the other hand, the president signed into law the largest expansion of federal power over health care in generations the ill-fated[.]