Ezra Klein, Washington Post policy wonk extraordinaire, posts today Meet the New Health-Care System, Not That Different From the Old Health-Care System. He's referring to Max Baucus' version of a bill that may be on its way out of committee, that may then form some part of the basis of a Senate bill, that may then be merged with a House bill, that then might finally become the law. That is, we're still a long way from done here, but he's assessing a strong possibility.
And this one certainly meets one of President Obama's criteria; if you like what you have, you'll be able to keep it (so long as your employer offers the same health insurance).
I'm old enough to have been raised on the mid-twentieth century historian Richard Hofstader's observations of U.S. society. He became somewhat cranky in the tumultuous '60s, but his earlier work probably influenced my picture of the outlines of our democracy. This Hofstader dictum seems relevant to Klein's summary.
The struggle over whether health care reform can be achieved seems more and more a struggle over whether our "democratic" institutions retain the ability to both answer to majority opinion and accomplish anything at all. We'll see.