Abstract
The course of health care reform in 2009 resembled the silent movie series “The Perils of Pauline,” in which each episode began with a threat to the heroine's life but ended with her salvation. Despite repeated near-death experiences, reform legislation passed both houses of Congress. After so many obstacles had been surmounted, the remaining task of reconciling the House and Senate bills seemed doable. Then, a political earthquake hit. Republican Scott Brown won the Massachusetts senatorial seat that had been held for 47 years by the late Senator Edward M. Kennedy, thwarting the capacity of the remaining 57 Democrats and . . .
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