Orrin raises the possibility that we can defeat health care reform, or defeat President Obama, but not both. This is similar to the idea that attempting health care reform saved Clinton's presidency by electing a Republican House and making him into a caretaker President. Of course, with Clinton we defeated healthcare reform but were stuck with the President for two terms.
With Obama, it's a harder choice. Clinton, at least, was relatively innocuous on foreign affairs and even, with NAFTA, the ICC and Kyoto, good for the country. I really don't want healthcare reform, which if passed will torture us for generations, but Obama (Nobel speech excepted) can't be trusted with foreign affairs. What do we do?