It's about the wealth redistribution
Much about health reform remains unknown. Maybe it will deliver Congress to the Republicans this fall, or maybe it will help the Democrats keep power. Maybe the bill's attempts to hold down the recent growth of medical costs will prove a big success, or maybe the results will be modest and inadequate. But the ways in which the bill attacks the inequality of the Reagan era - whether you love them or hate them - will probably be around for a long time.
And of course, that's all that really matters. This has never been about "health care reform."