I honestly think that this whole thing is up to the American people to make it work. If this new health care bill is disastrous, I don't see why the politicians should be blamed for the stupidity of the people abusing it.
It's a societal problem and not a governmental one. Again, it goes back to the "ME ME ME!!!" attitude. If such an attitude weren't so prevalent in modern American society, health care reform wouldn't be such a hotly debated issue. It's a vicious circle; people who are all about "ME ME ME!!!" don't want to give up anything up for a universal health care system because the would-be leeches of said system do it because of their "ME ME ME!!!" attitude.
The problem with this isn't the health care bill, it's Americans' sense of entitlement which breeds greed, distrust, and dishonesty.
If the bottom falls out of this whole thing, Americans will only have themselves to blame...