Honestly speaking, i don't think the healthcare bill will help or hurt the economy on the short-intermediate term.. at least in it's current state.
Even if the costs is 100bln/year.. there are no inflationary pressures, so additional 100bln in bond sale would not be a big issues at all.

__________________
Человек, который почувствовал ветер перемен, должен построить не щит от ветра, а ветряную мельницу