James Fallows positively nails it:

the significance of the vote is moving the United States FROM a system in which people can assume they will have health coverage IF they are old enough (Medicare), poor enough (Medicaid), fortunate enough (working for an employer that offers coverage, or able themselves to bear expenses), or in some other way specially positioned (veterans; elected officials)… TOWARD a system in which people can assume they will have health-care coverage. Period.

-and-

this [set of reforms and all the attendant process arguments] will not seem anywhere near as poisonous seven months from now as it does today. Jobs jobs jobs is what will matter most then.

So very true. If unemployment is at or near 10% in 2012, Obama will not be reelected. Period. If the economy continues to pick up this year, Democratic losses come November will be not-so-bad…not that they’ll be presented that way, of course. Anything short of a 100 Democrat Senate will be treated as an Historic Upset of the “normal order,” which, of course, currently has many Democrats representing historically red districts. But, back to Fallows:

There are countless areas in which America does it one way and everyone else does it another, and I say: I prefer the American way. Our practice on medical coverage is not one of these.

Nancy Pelosi touched on this point last night in her floor speech: that losing the fear of living insurance-free will let a thousand startups bloom. Folks locked into their current jobs simply to maintain a safety net for their kids can now think solely on the basis of how good they think their idea is. It won’t happen overnight, but it will happen. This is where the much longed-after “new economy” will ultimately come from.