> This health care debate is nothing new, and has been in the works for at least 20 years. One could say that health care reform was inevitable
The debate over universal health insurance at least 60 years old (Eisenhower's reinsurance proposal was intended to acheive that by providing public insurance to insurers against overly-high expenses), and the history of efforts in the domain provides no basis to conclude that something would have been adopted in the 2009-2012 term no matter who was elected in 2008.
It might have been "inevitable" eventually (though even that there is little evidence supporting), but whether it would have been now, or 20 years from now, or another 60 years before major steps were taken toward universal coverage, well, that's another question.