As a final vote on U.S. health care reform nears, Representative Dennis Kucinich (D-Ohio), known for being a far left liberal, has made clear that he'll vote against the final bill. Among his concerns are the "...timidity of the legislative language and, specifically, the unwillingness of lawmakers to seriously consider a single payer system".

With the final House vote promising to be close, Democrats are growing alarmed at Kucinich's position, with Daily Kos founder Markos Moulitsas promising a primary challenger if the Congressman proceeds to vote against reform.