What is the "New York Times" telling us about the health care bill?

I read this headline - Decision Looms on Advancing Health Care Bill - and a word flashes through my brain: Doom. Putting together decision and loom, I get doom.

I read the first line:

Seeking to avert the collapse of major health care legislation, the White House and Democratic leaders in Congress face a crucial decision about whether to use a procedural maneuver that would allow them to advance the bill despite the loss of their 60-vote majority in the Senate.

Yep, sure sounds like doom for the health care bill.