The Senate has two options besides Reconciliation to end or bypass a Filibuster.
The Republicans can filibuster the Healthcare Bill using a procedural filibuster, meaning, they don't actually have to do anything but say they are filibustering. However, under Senate Rule 22, the Majority Leader has the authority to force a traditional filibuster, meaning that the Republicans must have a quorum and must speak for 24/7. Furthermore, the Majority Leader has the power to put nothing else on the agenda, meaning that until the filibuster ends, no other legislature will be considered. This would force the Repubs into non-stop marathon of speaking and it is a tactic that was used to break the filibuster that was blocking the Civil Rights Act (see:
http://en.wikipedia.org/wiki/Filibuster ).
The Democrats have another option, one that was threatened against them: The Nuclear Option. Basically, with a simple majority (in this case 50 senators, since the V.P. breaks ties), the majority can deny the filibuster with a simple point of order. Here's how it would work. From
http://en.wikipedia.org/wiki/Nuclear_option :
The Nuclear Option is used in response to a filibuster or other dilatory tactic. A senator makes a point of order calling for an immediate vote on the measure before the body, outlining what circumstances allow for this. The presiding officer of the Senate, usually the vice president of the United States or the president pro tempore, makes a parliamentary ruling upholding the senator's point of order. The Constitution is cited at this point, since otherwise the presiding officer is bound by precedent. A supporter of the filibuster may challenge the ruling by asking, "Is the decision of the Chair to stand as the judgment of the Senate?" This is referred to as "appealing from the Chair." An opponent of the filibuster will then move to table the appeal. As tabling is non-debatable, a vote is held immediately. A simple majority decides the issue. If the appeal is successfully tabled, then the presiding officer's ruling that the filibuster is unconstitutional is thereby upheld. Thus a simple majority is able to cut off debate, and the Senate moves to a vote on the substantive issue under consideration. The effect of the nuclear option is not limited to the single question under consideration, as it would be in a cloture vote. Rather, the nuclear option effects a change in the operational rules of the Senate, so that the filibuster or dilatory tactic would thereafter be barred by the new precedent.
That's right. The Nuclear Option changes the Senate Rules on-the-fly. And it's completely legal. If there ever was a time to use the Nuclear Option, it is now. Why? Because the Republicans have openly stated that they will do anything to prevent Universal Healthcare with a Public Option. They have never intended to negotiate. They've even stated they have not negotiated in good faith. The Senate owes it to the American People to pass this much needed legislation. Healthcare is not something for just those who can afford it. As we approach the anniversary of 9/11, let's consider that more than 3 times the people who died in 9/11 die every year because they can't afford health care. It is truly a matter of life and death. It's time to go all-in for the American People.