With Coakley's loss, there will not be 60 votes in the Senate for comprehensive HCR as a single package. In addition, whether or not you believe the Senate bill was "better than nothing" in the inspiring words of Steny Hoyer, it seems unlikely that it could get passage in the House without changes.
However, I actually think its possible that the need to rethink could lead to better bills, split up into pieces, than one massive bill which is full of compromises and hard to understand.
Step 1: Lose the mandate. Its unpopular and sort of sucky.
Step 2: Pass a Medicare for all buy-in option through reconciliation in the Senate. I'd like to include similar subsidies with a similar funding mechanism to the current House bill, but the important thing is to establish the principle that every American has the right to purchase health care insurance from Medicare if he or she chooses, no matter how old they are. Find 51 votes for some version of Medicare-for-all and pass it.
Step 3: Bring a ban on recission to a vote. If you have coverage, and you get sick, your insurance cannot deny you care because you forgot to mention that you saw a doctor for a cold 9 years ago.
Step 4: Bring a ban on denial of coverage due to preexisting conditions to a vote.
Steps 3 and 4 will require a filibuster to be overcome. MAKE THEM FILIBUSTER. You can talk about why its wrong for insurers to be able to deny Americans care that they're owed, and the Republicans can read the phone book or talk about how Democrats don't understand how hard it is to be an insurer, since you always have people complaining that you unjustly denied them coverage.
Step 5: Target blue-state Republicans to flip their votes---not with gentle persuasion, but with ads slamming their approach back home (don't bother with those who are serving their last term). Note: you should have the ads set to go before the filibuster even starts, so it can immediately be put on the air once it does. Let the grassroots/netroots in those states know as well---show them the ad, note that its probable that their Senator's going to filibuster, and ask for their support. This means all types of support---emailing the video, contributing to it, calling their Senator and telling them no, etc etc etc.
I think Susan Collins/Olympia Snowe, et. al. will be more receptive to changing their vote from this type of pressure than a White House Charm offensive.
Use the same approach with Lieberman, obviously.
This step-by-step approach will enrage Republicans and the insurance industry. This is good. This is what you want voters to see, that you're on their side and the industry wants to continue to bleed them for profit.
This is where we get to the fun. Winning is fun, but fun also leads to winning. For example, when John McCain boasted that as Senate Finance Chair he oversaw the whole economy, and Obama said "Nice job"? That's fun.
So when insurers complain, note the CEO compensation, and give out their phone numbers so that concerned citizens can offer their condolences on only making $40 million last year. Perhaps an address where those same citizens can send canned goods. That sort of thing.
You can also thank rightwing Republicans and Scott Brown for giving you the chance to rethink your HCR approach. "This Medicare buy-in wouldn't have happened without you" you can say. I'm sure they'll appreciate that.
Continually talk about how grateful you are that Republicans were so obstructionist on the more conservative bills that you're now able to offer every American the chance to buy care from Medicare if that's what they want. Act grateful too. Every time a Democrat appears with a Republican Senator, they should remind the GOPer that this wouldn't have been possible if the Republican weren't so wholly owned by the insurance industry.
Please correct/suggest in comments---this is a very rough draft of some ideas and needs a lot of fleshing out. But I figured some cheer around these parts would be well served.
And now, a hopefully fun poll: