Here's the problem ...

With getting any kind of major reform through:

...

This bears out the pervasive "conservative" American ethos of "I've got mine, so screw you," so the problem is much bigger than health care reform. The idea that anyone could fall victim to negative circumstance or make a bad decision or just find themselves on the losing side of something is attributed to their own bad character --- or, perversely, to the government which has taken from you, the deserving citizen, and given it to someone else, thus unfairly placing you at a disadvantage. It's old style Calvinism mixed with adolescent Randism and it's a very serious problem for people who believe that social stability and economic justice are important.

Because, after 30 years of "greed is good", it's automatic by now.