Ed asks what can we do to improve Obamacare? I have no idea. Republicans aren't going to vote to improve it. HHS can do what it can to make the system as good as possible, especially for the states on the national exchange. Otherwise...?
It's another reason why a public option was key. Yes, of course, for liberals like me this was "stealth" single payer. Make a decent public option and eventually the rest of the system would whither away. But it was also important to make sure the administration had the power to make Obamacare good.