So, uh, what's the problem here?  This is actually a roughly 4% improvement over the House version.  What, you think this can be fixed all at once?  Progress takes time -- it's incremental, don'tcha know?  We should all be proud of the herculean efforts the Senate has made to redress the issues with the House bill.  A couple dozen million Americans who'll get sick and die for lack of health care is a small price to pay for progress.