Good point on the filibuster. Unless the Biden-led Democrats go nuclear (lol), we could easily see a result where every single congressional Democrat votes for M4A and we still don't get it. Now the Democratic ghouls can all run on voting for a popular policy, and (assuming the party loses more seats in 2022) the issue will be spiked until 2024 at the earliest. I'm not seeing this as a do-or-die issue.