I think Rachel Maddow is way too confident about the president's prospects for getting health care reform passed. If the vote for the health care reform was the sure bet she thinks it is, the president would not have postponed his trip to Australia, Indonesia, and the U.S. territory of Guam.
At this point it makes far more sense to pass the watered down senate bill and it seems as if too many Congressmen want something added to the bill when the House of Representatives has to pass the bill as is if reform advocates are going to avoid a filibuster in the senate.
That means no entitlements for illegal (ahem "undocumented") immigrants, no new abortion restrictions and no new public option (as much as I'd like it). We are coming down to the wire and the House has to either take it or leave it.
Further changes can be made at some point in the future, when the people who stand to benefit from this bill take the rights it offers for granted.