It seems likely now that congressional Democrats will eventually pass some kind of bill they can call health care reform, although while Senate passage seems greased, there are still some barriers to House-Senate reconciliation -- different methods of financing, the abortion issue still unresolved, lefties upset there's no public option, burgeoning costs and higher taxes, etc. Getting it this far is a triumph of ideology over reality and perhaps even smart politics. Public opinion polls still show substantial majorities against ObamaCare, and while some of those may be Dem "base" voters upset at it being "watered down," I suspect that's a sliver. Supporting health care deform will send substantial numbers of elected Dems into retirement next year, and they know it.
But those who describe themselves as "liberal" or"progressive" ion America have long coveted nationalized health care for ideological rather than practical reasons, and Obama is much more iedological than advertised or widely recognized yet. They see jamming more government control of health care down our throats as an obviously desirable and historic achievement that will eventually be recognized as beneficent and important.