Democrats in congress had every reason to think many of those who had modified large parts of it would vote for it.
So democrats let themselves get flim-flammed into believing they had votes that they didn't. It wasn't a great bill and probably should have been shelved since it had been gutted anyway. Hindsight is 20/20 though. I was against it because it didn't go far enough, but I was glad that it passed. The next step will be MFA and it's coming to a theater near you soon! Maybe not exactly in our lifetimes, but soon.
And even then it will be hobbled by Republican insistence that a small group of rich men should get a cut of the healthcare money without any connection to the actual healthcare taking place.
Good coffee, good weed, and time on my hands...