The healthcare debate is like the diesel engine debate. Everyone wants a diesel engine which revolves around:
1. Clean emission
2. Durability
3. Performance
4. High mileage
You can’t have such an engine....without giving up one at least one of these features.
I think with healthcare...if you dissolved the state-line approach to it...you might buy some time. But both parties are moving to only one solution in the end...single-payer.
Every State (DIM OR PUBBIE) has an entrenched Insurance Bureaucracy supported by special interests which will fight to the death over their "States Rights" when it comes to giving up the power to regulate insurance within their boundaries!