I am just looking at this from a cigar-filled back room, “how do we get this sold” perspective.

When the big honchos are in the board room with their cubans (ironic) and plotting strategy they have to convince a certain number of centrists to go along with socialized medicine. GM with it’s massive health-care benefit nut could point out to the administration that if they unloaded that mess, they could restructure and survive.