Sen. Pat Roberts, R-Kan., used a poor analogy when he said last week that a new report on health care reform was "like Pearl Harbor . . . a day of infamy.'' But the assessment by economic analysts at the Department of Health and Human Services does show how the Democratic reform plans don't do enough to control costs. The report concluded that the nation's total health care spending, public and private, would go up more rapidly if Congress passed health care reform than if it did nothing — though it should be noted that about 33 million more Americans would have health insurance coverage under the reform plan. The report also doubted whether Congress would have the political will to make Medicare reimbursement cuts, which are supposed to help pay for the reform.