2010 has been a big year for health care reform, but the families on whose backs those legislative victories were won have little to celebrate.

The Obama administration is poised to extend the reach of federal restrictions on abortion funding to new high-risk insurance pools, a supplementary system for people at risk of being shut out of ordinary private insurance due to preexisting medical conditions. The pools will exist until 2014, when new rules that ban providers from rejecting people based on preexisting conditions begin. This basically means that the spirit of the notorious Stupak amendment, which would have broadly preempted any federally supported insurance program from covering abortion services in the new health care system, has become reality.