"I think that for those of us who were opposed to this bill, it's game–almost–over. This isn't exactly surprising; Democrats have a commanding lead in the house and the Senate, and now they have the presidency too. If public opinion on this thing craters again, I'll reassess. But for now it looks like it's time to start preparing for an ambitious health care reform, and all the dislocations, and the budget crisis that we now have even less ability to avert," – Megan McArdle. But Megan thinks it will mean the end of a Democratic House in 2010.