That's a good question. Perhaps in a democracy, we have to realize that we don't have the votes rather than defer to underhanded tricks.
I'm not sure what type of reform would be acceptable to the Republicans. The current bill is a gift to the health insurance and drug industry. I wonder if an idea that should be revisited is the notion of co-ops. Initially, I was not very excited about co-ops because I thought that they had too low of caps and not enough members to adequately spread the risk. However, after reading about co-ops, I'm not so sure, especially when the co-op is essentially a policyholder owned mutual insurance company with lots of members. Would we have had a different reception if the public option had been packaged as "patient owned" rather than "government run"? For more information about co-ops and a video interview with the head of the 600,000 Seattle Health Care Co-op, see:
http://hctalk.com/viewforum.php?f=48This whole thing is very odd. We had many debates among single-payer supporters whether the bill should "be killed" or "better than nothing" with people generally split. Neither side was very enthusiastic about the prospects. I was on the "better than nothing" side, at least for part of each day, but the prospect of selling ourselves and descendants into financial slavery to the for-profit health insurance industry does not set well. I'm a "better than nothing", but if the bill dies, I be more than a little bit relieved.