Back to the drawing board. Hospitals, insurer support not enough to save California's universal coverage plan; lack of physician backing hurt chances.

A defeat in California for Gov. Arnold Schwarzenegger's comprehensive healthcare reform plan was not only a blow to advocates of the initiative but also could be a setback for other states that were hoping to follow in the Golden State's footsteps. Lloyd Dean, left, president and CEO of Catholic Healthcare West, said that he is "concerned this lack of progress will result in further deterioration of California's healthcare system".