Note to Congress and the Administration.  Yes, Ben Nelson (RD-Nebraska) is a pain in the ass.  And there's only one thing you can do about it.  BUY.HIM.OFF.  Luckily, it's pretty simple to do so.  Locate the claims processing and customer service operations for the Public Option in Nebraska.  After all, Mutual of Omaha was (is?) a long-time Medicare contractor and it has a good record in a bad industry.  Also, Nelson's all worried about the NelNet student loan servicer (worst.company.ever) being wiped out by Student Loan Reform?  Fine.  Have NelNet be a key servicer for the new direct federal program.  As Ross Perot used to say "Long story short problem solved."