"It's a choice between a wrecking operation…or a salvage job" (see USA Today, "Despite thrust and parry, law not dead yet"). When Democrat-appointed Supreme Court Justice Ruth Bader Ginsburg evaluates a Democrat president's signature initiative like that, you know the health care law is hopelessly flawed.
Assuming the Court rejects the partisan ideological overreach as unconstitutional, it will be time for Congress to come together on mutually acceptable principles and begin to carefully craft pragmatic, measured reforms rather than wholesale ideological government takeovers of medicine. Cooler heads can prevail and pass reasonable reform by providing compassionate, fiscally sound safety net provisions for the poor and those caught in health crises; by increasing competition, allowing consumers to buy insurance across state lines; by rooting out budget-busting corruption and Medicare fraud; and by reforming malpractice, cutting paperwork and providing conscience protections to stem the hemorrhage of physicians from medicine.
In a bipartisan, measured approach, no one will get everything they want. And that will be a good thing.