Lets break the health reform bill into sections. Sections that change the way business is done and that makes it a killer politically to vote against.
And leave all the financial sections of reconciliation. Prior administrations did it, so can this one. Cuss your bipartisanship when its in their party's interest to vote no for everything. The people will blame the party in power, blame the president, even when its obstructionism. Thats just how it goes.
Because we have short memories.