It's telling that Obama had so much trouble in getting his own party to pass the bill on a simple majority basis: the bill was so blatantly watered down with the corporate hose that anyone with their name attached to it feared future electoral doom.
The public option grew weaker and weaker as the health care bill evolved. The left Democrats pinned all their hopes on it; they ignored the rest of the health care bill, which slashed Medicare and taxed the "Cadillac" health care plans of union workers, all in the hopes that a miniscule public option would give the lefts some political cover.
It wasn't meant to be. The final health care vision is the brainchild of the monopoly corporations who dominate health care in America. Their power will remain untouched. Indeed, it will only grow.
Dennis Kucinich, the most "radical" of the progressive Democrats, waited until the last round before he threw in the towel to the health care industry. His capitulation is especially symbolic, as many progressive activists around the country remained in the Democratic Party solely because he was there. His inglorious surrender signals what many progressives already knew: the Democrats are a corporate dominated party, where liberal ideas are tolerated so long as they have no actual effect on policy.
Also, the bill's taxing of "Cadillac" health care plans will further alienate organized labor from the Democrats. What little faith the unions had in the Democrats will be badly shaken.
More significantly, those millions of people who are soon to be mandated to buy shoddy, corporate insurance will vent their rage solely at the Democrats. A significant portion of the currently uninsured will remain without insurance, and be penalized at tax time for not buying into the corporate healthcare scam. These millions will be never vote Democrat again.
The Democrats have a won a congressional battle against the Republicans, while sawing off the branches of support on which they are perched. The party that was once "the lesser of two evils" is now competing on equal footing with the Republicans.
With both political parties dominated by the big banks and corporations, there is ever growing political vacuum to the left (the vacuum to the right is being filled by the tea partiers).
There have been countless attempts to organize a mass third party. The numerous progressive political parties that currently exist do so on an insignificant scale.
What remains missing is the support of labor unions, which represent millions of working members. Labor is the only social force that currently exists on the left capable of creating a mass-based party with the resources capable of competing with the two parties of big business.
If labor were to finally declare its independence from the Democrats, and announce the drive to create an independent labor led party representing the majority of working people in this country, the "fractured left" would find instant cohesion.
If this labor based party were based on a progressive platform --including Jobs, Peace and Medicare for All -- not only would the country's millions of union members join and vote for it, but the tens of millions of working people disenfranchised by the Democrats would instantly jump on board.