Personally, I don't think Obama and the Democrats have much of a chance to pass significant health care legislation. A couple of years ago, I wrote a research paper about health care legislation, and I think this 1994 article by two political scientists at Colorado still has relevance:
We argue that the reason America did not pass comprehensive National Health Care reform in 1994 is the same reason that it could not pass this kind of reform in 1948, 1965, 1974 and 1978: The reason that the United States is the only country in the democratic would that does not have a comprehensive national health insurance system is that American political institutions are structurally biased against this kind of comprehensive reform.
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