The political repercussions for Congressional Democrats of not passing a health care bill could be severe. Our newest national survey finds that Democrats lead 46-38 on the generic Congressional ballot. But asked how they would vote if no health care bill is passed respondents split 40-40 between saying they would vote Democratic or Republican in next year’s election.

In some sense the Democrats may be in a damned if you don’t or damned if you do position on health care. Asked how they would vote for Congress next year if a health care bill with a public option is passed respondents said they would go Democratic by a 46-41 margin, still more narrow than before any hypotheticals about health care outcomes were introduced into the questions.