Personally...

I could not care less just how House Speaker Pelosi passes Health Care Reform, just as long as she gets it done and done quickly.
Joanie Vennochi though, sees it differently and wants an up or down all out vote for the ages like something out of "Advise and Consent".
Frankly I don't think Joanie realizes that no matter what Speaker Pelosi does, she will be vilified for it by movement conservatism. The up or down vote is great for columnists who are genetically predisposed to a black and white palate in a color-driven world. Given that multichromatic world out there, if Speaker Pelosi needs to perform some legislative sleight of hand, well then so much the better for her.
Incomparably nastier tricks were happily deployed to get Congress to sign off on the Iraq invasion, so please spare Humble Elias any phony outrage about the manner in which HCR is passed.
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Anyway, I have an ulterior motive in seeing HCR passed quickly and if necessary, dirtily...When it goes thru you wanna be watching cable so that you can see Glenn Beck's head explode. All the wingnuts near and far will go apeshit in extremis, it'll make last year's "Insanity Summer" look like gentle group therapy by comparison. But at least this time we will have the bill on our side and a policy with which to push back...



Don't listen to Joanie Madame Speaker, jut pass the damn thing, it matters not how, the placards have been already printed the outrage paid for.