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Uh, you've run right into the ditch with this rhetoric. The first group that Obama paid off (co-opted into the plan) were the insurance companies. To hear you talk of the evil Republicans fighting for the benefit of the insurance companies is laughable. And regarding the "rich"...it's not a "rich" versus "poor" issue. It's a Team Democrat "Rich" Group versus the Team Republican "Rich" Group. To the victor go the spoils, that's the Chicago Way. But please don't try to paint this as the virtuous Democrats versus the evil Republicans. That's laughable.
As I said above, the White House put the insurance companies in their pocket as the first order of business.
There is a difference between keeping your enemies close and actually fighting their fights.