The hc bill is ping ponging now. It will pass through reconciliation with 1 or 2 small reforms but the universal coverage and trillions here and there dream of Obama and the Pelosi Proletariat is done.
Btw, I did not include third parties b/c they are irrelevant in American politics, except in the grabbing pluarity from the Dem or GOP candidate, e.g. 1992 via Perot.