Mogamon, I think you have a different perspective of the law's development than the one I saw. Frankly, the President spent too much time and effort trying to get the Republicans on board with the law. Some of the things, such as a lack of a public option, were the result of compromises. The law wasn't passed overnight - it was a long time coming. There was a lot of input, including the law that was developed in Massachusetts. I'm not sure you are looking at more neutral sites, such as Kaiser or Families USA, which have facts rather than stories.
Look back to the creation of Medicare Part D - there was a lot of arm twisting, midnight voting, and misinformation in that law as well. But it passed, and it was put into effect, much to many peoples' dismay, including mine. There were a lot of computer problems with that law, and many many problems with the website. The law was passed in 2002 or 03, enrollment started in 2005 and coverage started in 2006. There were many problems, insurance companies that were suspended from participating, people who didn't understand it, enrollment periods that had to be changed, even extended because of problems with mailings and computers, fraud. However, the differences: it was more limited in coverage than the ACA, and politicians and the states got involved to see that people were helped to enroll. It was the law, and people got behind it. My thought at the time was it was much too complicated and put too much power in the hands of insurance companies, but it has continued to work for most, and elders now have access to insurance for prescription drugs, something only a few had before then. It wasn't "good" law at the beginning - it was given time and support to develop.