Talk has it a special deal was made with Obama and an executive order.
Pelosi and Obama had their political lives on the line. Having put themselves in this life-or-death situation, they'd be willing to do everything short of murder to pass this bill. I guess we shouldn't' be surprised if they succeed.
Read more here.
For a peek at some of what we are in for, read Brian's Swartz's excellent editorial in Pajama Media "Get Ready for Health Insurance Slum Lords."