I missed this before, but although I agree in principle it wasn't just Lieberman. Just for example, in the Senate the bill was essentially drafted in Sen. Caucus' office by Elizabeth Fowler, who was first a high powered Congressional aide, then a lobbyist for Wellpoint, then rejoined the Congress on the staff of Sen. Baucus. And look, Sen. Bayh's wife was a board member for Wellpoint and made $millions and he was a big hurdle to a public option! And you had right leaning Democrats like Ben Nelson from Nebraska who was a huge hurdle. No wonder - his vote for cloture to get over the 60 vote hurdle collapsed his support in a state that overwhelmingly opposed the ACA. And then Lieberman had his own ties to the healthcare industry through his wife who worked directly or was a paid lobbyist the industry for a couple decades, ending only in 2005.
Bottom line is to get to 60 with what they had took huge amounts of arm twisting. No one can replay it with a different strategy, but the law was deeply unpopular when the votes were taken and that was with the basic support of the multi-$billion insurance lobby, and the healthcare industry as a whole. We can all agree that the money is corrupting but it's just the way it works up there, and it's a massive hurdle. It's why I doubt if there are more than maybe 30-40 Senators who would, if their vote was the deciding one, support MFA. Maybe less. It would effectively kill off several of those multi-$billion companies, and they'll fight like hell, and dirty as hell, to preserve themselves, and it will have a huge impact. Anthem alone is worth $65 billion. UnitedHealth over $200 billion. What do you think they'll do to prevent their core business from going to $0?