On September 9, 2009, President Barack Obama addressed a rare joint session of Congress in order to push the vote on the health care reform. During the Presidential campaign of 2008, Obama had closely linked his candidacy to the issue of health care reform, and his first few months in office have displayed the same focus. The President is personally involved in the reform of the system, and his convictions are one of the most important factors; pushing the debate all summer long. Opposition to reform abounds, from political concerns to ideology. The lack of one vote could potentially become the deciding factor between success and failure; especially if the short vote was that of the esteemed Senator from Massachusetts, Ted Kennedy. In any case, Barack Obama still has a chance of success; and it is fundamental to consider the nature of his plan, apart from the position of the debates. Currently, the game is still open.