I disagree completely with Strix, but Obama has made a complete pig's ear of the way he has handled the process.
Massachussetts swung 30% away from the Democrats for a reason. People vote the way they do for a reason.
Obama promised he would do everything in public, with no backroom deals, yet the whole vote-grubbing process to get to 60 has been an exercise in pork-barrel politics.
He promised no new taxes on those earning under $250000 - but has broken that pledge by taxing health insurance plans.
He has left too much in the hands of the spineless Harry Reid, and shown a complete lack of leadership. His dithering meant that the process was controlled by the likes of Lieberman, Nelson and Stupak - instead of by people who really wanted to see health reform. He didn't push at all for the things his supporters really wanted, like a public option.
Now health reform is pretty much dead, and it can be laid squarely at Obama's door.
He should make the best of a bad job, and at least try to stop insurance companies discriminating on the basis of pre-existing conditions.