are you trolling? if you are serious about finding out read the book, he explains the horsetrading that was needed to pass the bill.

for a complex bill like that you cannot take one thing in isolation and complain you have to look at the context. Also, again, its congress not him. if you are gonna complain, complain about republicans that kept watering down the obamacare under bad faith negotiations (though eventually it passed without any red support).