This kind of thing is just insider bullshit. From the beginning of the election campaign and I'm talking the primaries, on the Democratic side one of the major focuses of the of domestic issues has been the reformation of the health care and health care insurance system in this country. What that means is that private insurers have to be reigned in in some way to enable the average citizen (at the very minimum) afford real health care. Of course the best option would have been (and still is) single payer or an expansion of Medicare to the whole population.
That option was taken off the table by Obama right at the beginning so that he threw away a major bargaining chip for those who really wanted true reform. So now the god damn discussion is which of the least piss poor plans out there are going to be available to us. And by us I mean the average citizen, since the people who are making the rules and the laws get the best gold plated system there is in the world. For those people our health care and insurance industries are indeed the best in the world.
At any rate to go back. It is clear (to me and it should be clear to everybody everywhere) that Obama has no interest at all in any real reformation of the health care industry (I think that might be an oxymoron: health care/industry). From the git go he has wanted to pump money into the insurance and pharmaceutical industries (just like the bankers) without any reforms at all. He plans on taking that money from the average American (and the Chinese for as long as he can) and giving it to the wealthiest 1% who produce nothing.
It is interesting that he acted differently with the auto industry. There he canned CEOs and cut wages, etc. He appears to be willing to throw money at only the industries that produce nothing.
So to get back he still wants to screw us and the only reason he hasn't been completely able to do that is that we the people are raising a huge stink and he needs a little cover. The other thing is that there are a few people in congress who won't go along and a few who are scared to go along. Of course, once again the insurance industry is doing their bit by pouring tons of money into this congress. My bet is that anyone who loses their seat because of voting for the industry and against their constituents will find that they and their immediate family have good insurance and jobs for the rest of their lives.
So apparently there is a little bit of democracy still left in the old girl.