Losing the public option was irritating. On the other hand, I'm not sure even Obama could sell a public option to a country as far-right (in global political terms) as the US.
Remember, Obama may be a liberal by US standards... but in most other countries, he'd be seen as a moderate conservative.
I do think passing any sort of HCR bill paves the way for a public option in the future, since people will get used to the idea of the government being involved in medical care.
That's the real roadblock to universal care in the US, IMO, people in this country just freak out at the idea of the government managing something it hasn't managed before.