Conservatives need to run on a Balanced Budget Amendment and a Sunshine Law Amendment, then actually work towards it wholeheartedly. If they can show that they couldn't deliver on this because of opposition, they'll win again in 2012. If they don't do what they say, they'll lose. If they deliver because of the small number of Ds that agree with them crossing the line to deliver the Amendment for ratification of the states, they'll still win in 2012.
If they draft it right (not against the bill, but against reckless spending and stupid prognostication based on wild deliberate assumptions that have zero chance of happening), a reconstruction of the current health care bill will be necessary, flatly you cannot pretend that the CBO "reports" anything close to accurate when they must (it is quite literally how they were created) believe in any wishful assumption listed by the legislators submitting it to them.
