I don’t know why that comment is collecting downvotes. They are referencing George Orwell’s “Animal Farm.”
Context: “Animal Farm” is a story about how communism can devolve into dictatorship. In the story, the animals on a farm drive out their tyrannical drunkard farmer. They write on the barn wall: “all animals are equal” and live in communist utopia. But some animals, too, hunger for power and status. Rather than overturn the system, they undermine it by adding “…but some animals are more equal than others” to the barn wall, legitimizing a ruling class (themselves) because they are “more equal.”
I think that is really the core of it.
I remember that it took months of discussions, compromises and buttering up specific opposition members to get it passed, and that it was a trimmed-down version of the original Medicare plans.
I wish I could remember where, but when answering a question very similar to the OP’s - perhaps in an interview? - Obama explained that he would have very much liked to tackle two big things: health care and climate, but that his party’s resources were stretched too thin to do both at the same time and that he knew they would loose control of the house in the midtems (2011), so he picked one thing.