The New York Times has a pretty good overview of the machinations required to bypass the democratic process in order to ram through health-care and get a 'win' for Obama.

The White House and Democratic Congressional leaders said Tuesday that they were bracing for a key procedural ruling that could complicate their effort to approve major health care legislation, by requiring President Obama to sign the bill into law before Congress could revise it through an expedited budget process.

As the eponymous King Pyrrhus of Epirus is alleged to have said after winning the battle of Asculum, "One more such victory will undo me!"

This has been a key aspect of the discussion in the house, since frankly, the Senate doesn't need to do the reconciliation after the House passes the Senate version. Its a done deal at that point.

“We believe what the president is doing is asking House Democrats to hold hands, jump off a cliff and hope Harry Reid catches them,” Senator Lamar Alexander of Tennessee, the No. 3 Republican, said on Tuesday. “And Senator Reid is not going to have any incentive to catch them because by the time the reconciliation bill gets to the Senate, the president will have already signed the health care bill into law and he’ll be well on his way to Indonesia.”

This is a sucker's agreement from the word go. You'd have to be a first class fool to sign on.