Democrat Lefties like Pelosi and Reid don't give a shit about what the electorate actually want, those two hard Left crazies want health care and they intend to get it by hook or by crook.  Neither has anything to lose, both are old and ready to get out anyway, so losing the next election doesn't resonate with them.   They will use any process that only needs a simple majority, counting on their far Left members to go along.  You can bet the farm that Health Care passes.  The day of the Hard Left will end in November or whenever the rest of us just take up arms.