I think yesterday the voters of Massachusetts sent a needed message to the President and the Democrats-fix the economy first.
Trying to reform the health care/insurance world is an inch by inch process not a mile bye mile agenda. If the Democrats don't do something sensible and explainable, they will be the minority party again and the President will be in for one term.
I do think this puts the pressure on the Republicans to begin presenting solutions on their part. A pox on both their houses.