The prevailing winds of corporate interests...

"But it is a national shame that a Democratic President who pledged the repeal of the Hyde Amendment would proudly issue an executive order affirming it. How far we’ve come since 2007, when Barack Obama swore that his first act in office would be to sign the Freedom of Choice Act."

http://fdlaction.firedoglake.com/2010/03/22/fdl-statement-on-the-passage-of-the-health-care-bill/

But it's a start?

"There are many good and praise-worthy things in this health care bill: help for those with pre-existing conditions, guaranteed coverage for children, money for community health centers, and expansion of Medicaid and SCHIP. But there is also cause for serious concern. Never before has the government mandated that its citizens pay directly to private corporations almost as much as they do in federal taxes, especially when those corporations have been granted unregulated monopolies."

And this is why we need a public option.