If the bill passes the Senate this week, there will be more chances to make changes to it before it becomes law. But if the bill dies this week, there is no second chance to vote yes. What those who care about health insurance reform need to realize is that unless we get 60 votes now, there will be no health care reform at all. Not this year, not in this Congress — and maybe not for another generation.

— Vice President Joe Biden, writing for the New York Times on health care reform.