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Published at www.nejm.org October 18, 2007 (10.1056/NEJMp0706881)

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To appreciate the power of the U.S. presidency — even when its current occupant's approval rating is only 31% — one need look no further than the political brawl over the State Children's Health Insurance Program (SCHIP). On October 3, 2007, President George W. Bush vetoed legislation that would have reauthorized SCHIP for 5 years, asserting that it was too expensive and would lead down a path to socialized medicine. On October 18, despite pleas by Democrats and some senior Republican legislators, the House failed to garner the necessary two-thirds vote to override Bush's veto; the vote count was 273 . . . [Full Text of this Article]

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Mr. Iglehart is a national correspondent for the Journal.

This article (10.1056/NEJMp0706881) was published at www.nejm.org on October 18, 2007. It will appear in the November 22 issue of the Journal.

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