Why does a health care reform bill contain stuff that has nothing to do with health care? Student loans, for example. Answer: It's all about Control. Power. Tyrrany. And, despite the squawk, smoke, and mirrors to the contrary, can it honestly be said that the government does not give money to Planned Parenthood? Therefore, the government DOES promote and fund abortions.
An overwhelming majority of Americans were against this thing, but inside the beltway bubble, apparently our elected can't quite hear the sounds of our voices. Oh sure, we can vote the bastards out of office. Just for fun, let's say in 2012 the pendulum swings and conservatives hold more seats....by 2014, when these health care changes are supposed to take place, the American people will just begin to feel the pain from the tightening of the screws, and because they have collective amnesia, they will think it is the fault of the conservatives and, like brainless amoebas, they will react and elect more liberals who will give the final ax-blow to the necks of anyone who can make a difference.
In a nutshell: Change - yes. Hope - no.