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That's the best part; none of the republicans voted for it and they immediately pledged to destroy it.
It's a subsidy for health insurers that's needlessly complicated and still makes healthcare inordinately expensive for most Americans, and required exactly as much buy-in from republicans as free healthcare would have: absolutely none.
Democrats had a supermajority and a massive mandate from the people, and chose to do what they thought the republicans would like. And then scratched their head when they got blown the fuck out in 2010.