A year ago US healthcare reform seemed inevitable: no one knew whether it would include a public option (a government-backed competition with private insurers), or how much it would try to control costs, but all the smart money expected that some plan to insure America's uninsured, or at least many of them, would go through. Eight weeks ago the smart money went the other way: Republican Scott Brown's surprise election to the Senate not only killed the Democrats' Senate supermajority, but spooked already nervous Democrats in the lower house so badly that it seemed they would not, could not take the necessary votes.