he knows the clock runs out at the end of this session of Congress...it’s full speed ahead
Having won an Olympic gold medal for health reform (in his mind) will amplify rather than diminish his lust for further gold medals to ensure his legacy. It’s all about legacy for him, not what might be good for the American public.
He’s demonstrated his ruthless willingness to sacrifice even members of his own party to that end. He might well reason that since they’re destined to lose next fall anyway, he may as well exploit them further by having them walk the plank on cap and trade, immigration reform and similar unpopular fare. He knows that after January 1, he’ll likely be working with Republican majorities in the House and possibly Senate. Use it or lose it!