The public option is as dead as a doornail. Its alternative, Medicare Buy-In, was killed by Lieberman.
There is a lot of other reasonable stuff in the bill without the public option, but what's left is counter-balanced by shitty things like insurance mandates (a humongous windfall to the insurance co's), dubious cost cutting from service providers and pharmas. Without a public option, it's a mixed bag of crap that doesn't reform very much, and there's no new cost pressure on the insurance co's. Due to the mandate, the insurance co's pick up scads of new customers, health care costs continue to rise unabated (yay free-markets!) and insurance co's find ways to weasel out of the few concessions they made. It's a shit sandwich.
If they pull the individual insurance mandate from the bill, it [i]might[/i] be worth passing, but we'd still be spending 900 bn for not much change and no real reform. If the bill somehow does proceed, I propose that it be renamed the "[b]Joe Lieberman Corporate Insurance Welfare Bill[/b]" We can also thank a handful of other shithead democrats who are about as informed about healthcare policy as your average email chain letter-- which are written by republicans.
The only way forward, as far as I can tell is to use a Senate Reconciliation committee to pass the bill (hey, that's how Bush got a lot done), but to do that, they would need to completely reformat the bill and then re-legislate it. It would also need a green light from the White House, and it seems apparent to me that Obama is not a hardball kind of president-- he's more of a "facilitator" than a leader. Health care reform is likely dead, because Obama is a centrist who is indifferent to progressive legislation, and because corporate america owns much of Congress.
A good blog to read each day about the status of Health Care is Ezra Klein of the Washington Post.
http://voices.washingtonpost.com/ezra-klein/
And here's Matt Yglesias talking about the White House would have done if it really cared about this legislation:
http://yglesias.thinkprogress.org/archi ... aken-2.php