Reconciliation cannot be used to pass comprehensive health care reform. It won't work because it was never designed for that kind of significant legislation; it was designed for deficit reduction.
The only possible role that I can see for reconciliation would be to make modest changes in the major package to improve affordability, to deal with what share of Medicaid expansion the federal government pays, those kinds of issues, which is the traditional role for reconciliation in health care.
When Republicans used reconciliation in 2001 for the Bush tax cuts, they used it to increase the deficit. The whole purpose of reconciliation is for deficit reduction!
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