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The real point is this country elected Obama in large part based on his pledge to reform HC & it will get done. Take that to the bank.
If we assume that you are correct, and the USA elected Pres. Obama mostly because he promised to reform HC, then it follows that:
If he doesn't, people will be upset.
If he, in their view, does it incorrectly, people will be upset, and not support it.
If he, in their view, does it only partially, people will be upset, and not support it.
If he does it perfectly according to 5 people, the rest will not like that specific method and get upset, potentially not supporting it.
So saying "you can take that to the bank" in regards to Pres. Obama getting it passed would, IMO, be incorrect.