Let me say it again:

2014.

Republicans can do a lot of damage before then.  There are no guarantees that any part of the tiny bits of good parts of this bill will survive that long.

This bill is a trap, and excuse for members of Congress and the President to say that they did something about our health care finance problems while still shoveling trillions of dollars more of taxpayers' dollars into the hands of a powerful few without doing anything to actually solve our problems.  It's an old American trick: give the natives a few trinkets and they'll give you Manhattan.