I believe our Governor said it best when he stated that a cynic would be right in thinking that the pushback on implementing Obamacare was to due purely for political, not policy reasons.  Everything the Democrats do today is with a reelection in mind vs having the tough conversations or taking the tough vote.  Granted there are some Republicans that have done the same.  But we can still show that in states and in Congress, where there are Republicans willing to go and do that which they were sent to do, the conversations are held, the votes are taken and progress is made.