Speaker Pelosi just said "I don't see the votes for [passing the Senate bill] at this time."
In other words, plug pulled. Health care reform over.
Pelosi followed with a bunch of muddying caveats that seemed to make the statement more ambiguous. So I strongly recommend reading her whole statement word for word
so you can interpret it yourself. But the other 'options' she mentions seem to be clearly impossible. So I don't think there's any way to read her comments other than to say she's ready to sweep health care reform into the dustbin for good.
She says she lacks the votes now but hopes at some point in the future she might.
Would have been nice to know back in January they didn't have the fortitude for this.