Thank-you.
As you correctly noted, "would the pubs have gone for it? most likely not."
That was the crux of the problem. Health care has been discussed for generations. It started in 1912. One hundred years ago. Here is a time line.
http://www.nytimes.com/interactive/2009/07/19/us/politics/20090717_HEALTH_TIMELINE.html
What tends to be overlooked is it's difficult to discuss the
details of a comprehensive health policy when one side doesn't believe such a policy should even exist. That's why Obama told the Repubs not to come with the same tired, worn out ideas. No policy resembling a comprehensive one would have passed with Repub approval. It would have been destined to fail or have accomplished nothing. In the end Obama knew he was going it alone so why not go for broke, as the old saying goes. (That phrase should generate a lot of wise-ass remarks from our Repub friends.)
Simply put it was time to make a move and let the chips fall where they may. If nothing else can be said about ObamaCare it has moved the discussion from whether there should be a comprehensive plan to how to implement one. It's referred to as the Overton Window. (The Overton window is a political theory that describes as a narrow "window" the range ideas that the public will respond to as acceptable........At any given moment, the “window” includes a range of policies considered to be politically acceptable in the current climate of public opinion, which a politician can recommend without being considered too “extreme” or outside the mainstream to gain or keep public office.) It took 100 years to get there.