The top line takeaway of this short piece in Newsweek is that a senior Democratic aide says Nancy Pelosi is "way short" of the votes needed to pass the Senate healthcare bill. But reading further, the news is more positive:
The big hang-up is about the Cadillac tax passed by the Senate, which would pay for the full reform package by taxing people with top-shelf health-care plans (as opposed to just taxing the wealthiest Americans, which the House approved in its bill). House Democrats are also uneasy about the Nebraska “Cornhusker Kickback” compromise that initially won over Sen. Ben Nelson....This aide says that unless Senate Democrats will commit to repealing it through reconciliation, Pelosi can’t get to 218.
....For now, senior lawmakers are working the phones furiously to talk up the idea of the Senate promising to retroactively unravel several distasteful components. If House Democrats make the good-faith deal, Pelosi is arguing that the Senate promise would be easy to keep. Reconciliation votes require only a 51-vote majority. Or even 50, in which case Vice President Biden could break the tie.
This aide says that leadership considers reconciliation, with the House conditioning its support on promised fixes in the Senate, as the much more strategic route than breaking the package into parts, which isn’t ideal because all of the parts are interlocking. Asked what the timetable would be for that, this aide says weeks, not months.
Italics mine. This is good news: both that passing the Senate bill along with an agreement to fix specific pieces later via reconciliation is the preferred strategy, as well as the fact that the Democratic leadership is apparently "working the phones furiously" to make it happen. After all, it shouldn't be too hard: a deal on the Cadillac tax was cut over a week ago, and Ben Nelson has already agreed to give up his special deal for Nebraska. If those are the biggest roadblocks, there's really nothing in the way of reaching an agreement to proceed.
Next step: how about actually talking about this stuff in public and making it clear that this is what everyone is working toward? Assuming it actually is, of course.