1. Obama the Democrat. Achievement of 50-year Dem goal means no 2012 nomination challenge. W
2. Obama the Centrist. Not with an all-Dem bill that has upside-down approval ratings.L
3. Big Pharma. No Canadian drugs, plus they get more generic biotech protection. W
4. Big Insurance. Loads of new regulations plus wimpy mandate that means new customers might not show. L
5. Treasury holders. Tax hikes and spending cuts for coverage expansion rather than Medicare solvency. L
6. 2010 GOP. Loss ensures motivated base for midterms. W
7.Supreme Court. May have to decide constitutionality of politically explosive individual mandate. L
8. Rep. Paul Ryan. Confrontation with Obama cranks up profile. W
9. Majority Leader Steny Hoyer.Speaker Nancy Pelosi not going anywhere, even if a big November loss. L
10. Mitt Romney. Anger over Obamacare could seep into RomneyCare. L
11. Mitt Romney. Expertise in healthcare could boost him in 2012. W
12. Investors. Overall, cap gains taxrates are rising 60 percent. L
13. Government workers. Uncle Sam is going to lots need more to administer this. W
14. Federalism. Top-down health mandate that some states may not be able to afford. L
15. China. More pressure to enhance its own safety net to boost consumption. W (for US, at least)