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The senate’s passage of a health care reform bill over lockstep Republican opposition required every single member of the Democratic caucus to vote to override Republican filibusters. It will take equal political will to mix the senate’s bill with the more expansive reform approved by the House and enact a final version. The House bill was agreed by 220 to 215 and the senate bill passed with 60 votes, the minimum needed to defeat a filibuster, the risk is that anything that disturbs the balance of compromises in either chamber could doom the effort. The senate bill seems especially fragile. Senator’s especially self-styled moderates will have to forswear the posturing that weakened and almost derailed their bill. It is time to consider the public interest first, because there are valuable features in each bill that warrant inclusion in the final product. The House bill, which is superior in many critical reports, does a better job for making health insurance affordable, the senate bill has stronger provisions to restrain escalating medical costs. The basic framework of the bills is the same. Both would need everyone to obtain health insurance and all employers to provide it or pay a penalty. Both would build up insurance exchanges on which small businesses and people who buy their own health insurance could choose from an array of private plans.