There is still the matter of reconciliation and the parliamentary procedural question of whether the Social Security impacts of the now-passed healthcare reform on SS payments breaches the threshold of making the bill ineligible for the maneuver. That won't save us, however, because a law has been passed and is awaiting signature without it. We are "reformed" either way.
And, there is the issue of whether the Senate can amend the reconciliation bill to save their individual pork slices which would then necessitate a return to the House for another circus. That won't save us, however, because a law has been passed and is awaiting signature regardless.
Of course there are the pending law suits on constitutionality from the various states raising serious federalism questions. One vacuous blonde bimbette Democratic spokesperson yesterday intoned that healthcare insurance reform would fall under the Interstate Commerce Clause and be federal territory. I wonder how the isolation of the states precluding sale of insurance across state lines will play into that rationale. It seems decidedly, under federal law, to be NOT interstate commerce! It still won't matter.
No, none of that means a thing now.
The issue looming on the horizon is comprehensive immigration reform. Have no doubt it will include a general amnesty for those already here. Once they've been assimilated into the electorate, the possibility of reversal of the socialist empire is gone. They won't be the ones paying the taxes to get the healthcare.
The promise of a 2018 "excise tax" of 40% on quality health insurance plans runs deeply afoul of the SEIU and union thugs. That is why it is pushed so far down stream. When that doesn't happen either at all or with a union carve-out, then the supposed deficit neutrality of the whole package goes very obviously out the window. Of course they know that.
This house of cards is going to tumble and it will be a very long time before America can recover, if ever.