... what?

English major strikes again.

Despite having declared the death of the health care bill before almost anything else, I don't want to say that the thing's impossible. [My emphasis]

Context doesn't help, it's just plain ole piss poor writing. I honestly don't know what she's trying to say. Before anyone else, I guess?
Thank goodness she's also an editor and will catch this before it's published, heh.

As for her commentary on the prospects of reform being enacted, I think she manages to dismiss her own views far better than I ever could.