...One of the panelists was Len Nichols, the director of health policy programs for the Washington-based New America Foundation. He's a well-known advocate who says he whispers in the ears of powerful people.

Nichols said there are many Washington careers and reputations that rely on forging some kind of health care reform package.

"It think that means it's highly likely. I think that means that those guys are going to try as hard as they can physically try, and use every tool at their disposal and they have lots of tools," said Nichols.

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