Where Do We Go from Here in Healthcare Reform?

Bruce Friedman asks, in the wake of Scott Brown being elected and the likely failure of this Congress to pass a healthcare reform bill, Where Do We Go from Here in Healthcare Reform?

There are four bad options facing congress; listed in parentheses are examples of how each option might be executed: (1) Heedless and Arrogant Approach: (ram the current policy through); (2) Weak and Feckless Approach: (try incremental reforms); (3) Dangerous and Demagogic Approach: (stripping the health bills of anything that might be unpopular and passing the rest regardless of the cost); and (4) Incoherent and Internecine Approach: (settling on no coherent policy but just blaming each other for cowardice and stupidity).

It seems that the incremental reforms approach of (2) is the only thing that can work; everything else runs afoul of one special interest group or another which is capable of derailing the the whole thing.