It is a big deal that the AARP, the American Medical Association, the American Cancer Society Cancer Action Network and other groups that take seriously the character and content of this country's health care system support the reform bill that is set for a weekend vote by the U.S. House.

There are still weaknesses and flaws in the House health reform bill -- the public option should be far more robust and provisions to ensure that states can develop sounder approaches based on the single-payer "Medicare for all" standard should be included.

But, for those who take the health care reform debate seriously, it should mean something that the primary advocates in the country for seniors, cancer patients and physicians and backing the bill.

As President Obama says:

"The AARP knows this bill will make health care more affordable. They know it will make coverage more secure. They know it's a good deal for our seniors. And that's why we're thrilled that they're standing up for this effort.

"The same is true for the doctors and medical professionals who are supporting this bill today. These are men and women who know our health care system best and have been watching this debate closely. They would not be supporting it if they really believed that it would lead to government bureaucrats making decisions that are best left to doctors. They would not be with us if they believed that reform would in any way damage the critical and sacred doctor-patient relationship."

While Obama is right in his assessment, the critics continue to highlight the fact that not all groups that advocate for seniors, people with serious illnesses and physicians are backing the health care reform measure that House Speaker Nancy Pelosi and key committee chairs have crafted after months of consultation with Democrats and Republicans, liberals and conservatives, health care providers and consumers.

There is no denying that some physicians are opposed.

For instance, the American Academy of Facial Plastic and Reconstructive Surgery has argued against the House measure.

So there you have it.

The AARP, the American Cancer Society and the American Medical Association say it is time for reform.

The plastic surgeons say "not so fast."

If you are worried about getting old, about getting really sick or about the quality of care that can be provided by primary-care physicians, the House bill would appear to have merit.

On the other hand, if your primary concern is whether to get a nose job and liposuction before heading to the islands for your winter vacation, then feel free to object.

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