The Democrats will kill it and then blame its demise on Republicans.
And they will have plenty of help from the MSM. I heard Matt Lauer with Michael Steele yesterday, asking why the GOP had nothing to offer on health care reform, and their whole basis was to stall and delay. Steele told him (too weakly IMHO) that he was wrong. But the message was out that the GOP were just “no” sayers on the deal, had nothing to contribute.