Mitt Romney has called the bill unconstitutional and asked for repeal. Several states are voting to put roadblocks in the way of implementation. Loosely organized groups, Tea, Statists and Liberty, are whipping up opposition.

If the opponents increase their voting power in Congress, and the attacks continue to grow, repeal is likely if the Republicans prevail in 2012.

The 'majority' in the last election may well be a 'minority' in coming elections.