What happened?

Is Kathy Sebelius, President Obama's Secretary of Health and Human Services, scratching her head this morning? I certainly am!

Fifty years of Republican obfuscation, obstruction and damn lies about "health care reform" have left the country wondering if a reform bill actually passed last night, or whether all we got was another small leap, one of many, over another annoying Republican hurdle in a never-ending steeplechase to oblivion.

As I understand it, yes, some sort of health reform passed last night. Something is the law of the land. But what is it?

The "reconciliation bill" that now goes back to the Senate is a not-so-crazy quilt of sanity patches designed to drive the lard monster out of the promised land and out of the law. If that fails, Republicans will have to live with the "bad" health reform they never thought would pass.

In other words, House Speaker Nancy Pelosi called the Republicans' bluff — and won.

So, cable news pundits, what have we got if "reconciliation" fails? And what have we got if it passes? What is Kathleeen Sebelius, our 21st Secretary of Health and Human Services, implementing right now, this morning, assuming worst case and reconciliation gets tubed?

Do I get a break on prescription drug costs sometime soon? If my doctors tell me this shadow on my MRI scan is cancer this Wednesday, will my best option to save my wife's bank balance and my daughter's education still be a slow walk on a snowy night with a bottle of Bacardi to dull the chill?