Now What? What is the next big issue after Health Insurance Reform?  

Heck anymore I wouldn't doubt if someone tried to sneak in a Obama dictator for life bill.

By this time tomorrow, the issue front and center will still be Health-Care Reform. I don't think it's going to begin the slow fade that you suggest. I think it'll still be an issue come November.

(heh) the reform of health care reform

Wherever you are in the world - the economy. And jobs (worthwhile jobs paying a living wage for everyone who wants one).

And wherever you are in the world - get the banks to pay back the money that they were given in huge amounts over the last two years!

Next major issue is going to be the nullification of the healthcare "reform" legislation and all other unconstitutional legislation the D.C. empire is trying to force.

The next issue will be changing that pesky Constitution so that what they are doing becomes legal.