By which I mean, the Senate should pass health care reform by a simple majority, not a 60-vote supermajority. The Constitution is explicit about the requirement for laws: a majority of the House and Senate, and signature by the President; a two-thirds majority in the event of a Presidential veto.
As a practical matter, unless the Senate reconciles on health care reform, the public option is dead and, perhaps, taking that as an indicator, substantive reform period. Insurance industry spokesperson Senator Joseph Lieberman today in the NYT:
You’ve got to take out the Medicare buy-in, you’ve got to forget about the public option.”