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I'm sure he knows that a repeal won't actually go into affect but he would win just as many brownie points among the base if he actually gets the House to pass a full (or significant repeal).
And for that base it would be a significant clarion call for 2012. "See, we did everything we could. Give us the senate and the presidency and it'll be gone the day after inauguration."
That really is the one horrible flaw I see in the healthcare bill that passed (public option would have been great but it wasn't going to happen regardless of when Obama took it off the table). We'll have too much time to hate it before people decide it's the new third rail.
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