Here's a wild card for passing the healthcare reform bill. But to support it, we have to choose hypocrisy to get healthcare.
The nuclear option. Change the rules so only 50 votes are needed to break the filibuster. Hell, 55 votes would do it, too.
Obviously healthcare reform is too important, but the nuclear option would make us look like two-faced hypocrites since the Democrats and the progressive movement loudly opposed the nuclear option several years ago when the Bush administration and Bill Frist were contemplating this.