1/10/10 HC Reform Update by Mark Sanna: Democrats have long maintained that they must pass their health care legislation in part because failure to do so would be a political disaster. The midterm elections are 10 months away, and anything can happen between now and then. But even as Democratic leaders wrangle in a high-stakes endgame — behind closed doors — to produce a final health care bill, they are bracing for losses in November, when the entire House and a third of the Senate are up for re-election.