I could insert a bad joke here about famous blind musical artists (and perhaps compound it by using the names of dead, blind musical artists) being able to see how we got the result that we got today in the Virginia court case against the Obama/Pelosi Healthcare reform package's requirement that everyone must buy health insurance. That single component was pretty much guaranteed to be DOA once it got into the legal system. Unconstitutional with a capital UN at the beginning of (even though I didn't use one back there).
Seriously, it didn't take a constitutional law scholar to figure out that requiring citizens to purchase goods or services from private companies isn't not supportable under the constitution, nor should it be, despite protestations from the Democrats that passed such a hair-brained law to begin with.
I can still see a path that will accomplish the same goal, and will be, in my mind, the end result as the Obama healthcare package gets tweaked by the incoming GOP controlled House of Representatives (and likely passed by the Senata as well, when it's their turn to go back to the drawing board to fix the broken law). We'll likely wind up with tax credits for anyone that has purchased an approved healthcare package for themselves and/or their family that gives us back enough credits to cover most if not all of the cost of a basic healthcare package. The problem then will be finding a way to pay for those credits, which will likely wind up being done through taxing the Cadillac (high end) health care plans and/or raising taxes on sins and vices: alcohol, cigarettes, and perhaps even fast food and soft drinks.
In the end it'll basically be a wash in that most people will get healthcare coverage but they won't really get back that much money from the credits because the costs will be just as high as the credits. For those that can't afford to buy coverage, the credits will result in a hand-out that should cover their costs for at least a basic package so everyone gets to feel good that we've covered as many citizen's health care needs as possible.
Since there would no longer be a REQUIREMENT to purchase insurance, but instead would be an incentive to buy insurance (so you can benefit from the tax credits), it would pass constitutional muster and wind up in the same desired result: most of the country's citizens covered for healthcare.
I'd be amazed if this isn't what we wind up with in the long run. Certainly the Obama-care package will be "fixed" as more and more people are disillusioned with what it became. Hopefully the results of the tweaking are something we can all be happy with for some time to come.