One wouldn’t expect the governing class to be as far-sighted as visionaries like Bezos. But it’s hard to be visionary if you’re pointing in the wrong direction. Which is why the signature achievement of Obama’s “hope and change” combines 1940s British public-health theories with 1970s Soviet supermarket delivery systems. But don’t worry: Maybe one day soon, your needle-exchange clinic will be able to deliver by drone. Look out below.