How will it be derailed by a populist who believes in goverment-provided medicine just as much (or more) than Obama? He intends to replace Obamacare, not just repeal it, and he said the government should pay for it, and he's for single-payer. He also plans to levy tariffs on China and start a trade war, that sounds great to populists, but the rest of us don't want to pay $3,000 for a $500 Television, or have China return the favor and raise tariffs on US goods, true our jobs won't be going oversees, they'll just be going away., this has NEVER worked in history, it won't work now. If you are going to have gov health care - single payer is the only thing that will work. re: Medicare. Obama knew this all along