In Elko, Obama tried to anticipate his critics and called on the crowd of about 1,500 to sharpen their elbows, too.
"I need you to go out and talk to your friends and talk to your neighbors. I want you to talk to them whether they are independent or whether they are Republican. I want you to argue with them and get in their face," he said.
After a meeting at the White House with President Obama and Senate Democrats, Senate Majority Leader Harry Reid acknowledged that the tea bagging town hall disruptions had picked up his attention, and had a simple response: We'll get health care done anyhow.
"In spite of the loud, shrill voices trying to interrupt town hall meetings and just throw a monkey wrench into everything," Reid said, "we're going to continue to be positive and work hard."
Hope and change.