The bills have passed. We did not get everything we desired and need to understand and accept for the present that the conference committee on the combined bill will be a compromising committee. What we have today is largely what we will see in the bill that will pass both the House and Senate and be health care reform...for now.
One perspective to view health care reform from is the historical development of Social Security. The original legislation in 1935 had many coverage gaps and was a far weaker program than it is today. Significant amendments to the act in 1939 and 1950 (when it became much more universal) along with the constant attention to improving the program's effectiveness to the present day are a result of expanding on Franklin Roosevelt's vision.
The public option, the dissolution of the insurance cartel, and single payer are not sacrificed forever.