You have succeeded in remaking the United States. Now nothing substantial stands between you and a total nationalization of health care. We can agree that America will never be the same again; you may cheer, we may mourn. But it is a done thing.
There'll be a lot of political brouhaha for the rest of the year and your party will likely lose some power in Washington; perhaps even majorities in the House or the Senate. But you know—and we know—that these short-term swings don't really matter. In the long run, you will have turned a large part of the population into your clients, depending on your favor for their health. They'll vote accordingly. In the long run, you'll be stronger than ever for it.
Sometimes I wish that you didn't listen so well to my advice to you less than two months ago when things seemed the darkest for you. Or, at least, that there was a place one could escape you.