I am afraid this outcome is far worse than even I first imagined, and I don’t see any way out, no matter what happens in the election. Repeal will never happen. There will be so much time and money invested in compliance by Feb 2013 that every health care interest group will fight repeal tooth and nail, and many Republicans are more pro-business than they are pro-freedom or pro-citizen.
Plus, many of Romney’s key advisors are go-along kinds of people — John Sununu, Mike Leavitt, the holdovers from Charlie Crist’s campaign, etc. Romney himself has offered to give states a waiver, but that doesn’t change the underlying federal function. At most we might get some modifications in the required benefit structure and the MLR.
I think Obama has fulfilled his promise to “transform America,” and not for the better.