Lawrence O'Donnell was co-hosting, and O'Donnell wanted to talk about the problems with using budget reconciliation. And so we did. I think he's probably right about the problems of using reconciliation for health care policy, but he's underplaying its importance as a threat. It makes a bipartisan bill more, not less, likely. I make this point a bit fuzzily on the program, but think of it like this: A legislative process has two basic outcomes. Bill or no bill. The majority wants bill. The minority wants no bill. And the Senate, as an institution, is built to favor the no bill position.