Public discontent has taken a toll on the momentum to reform health care. But there's another agent of no change at work — the health insurance industry, which, noted columnist Paul Krugman, "has become a political behemoth, one that is currently spending $1.4 million a day lobbying Congress." Krugman foresees corporate influence, helped along by the GOP, thwarting other meaningful action on climate change and fiscal balance. He concluded: "True transformation, it turns out, requires a lot more than electing one telegenic leader. Actually turning this country around is going to take years of siege warfare against deeply entrenched interests, defending a deeply dysfunctional political system."