The President could wait months before deciding to give a general the troops he asked for to fight the war in Afghanistan but there was never to be enough time for the health care bill to be exposed in the light of day to the usual Congressional hearings and debate. Moreover, despite all the haste, the health care program would not actually go into effect until after the 2012 presidential election. In other words, the public was not supposed to find out whether the government's takeover of medical care actually made things better or worse until after it was too late.
Although even the members of Congress who voted on this massive legislation did not have time to read its thousands of pages, just the way it was being rushed through in the dark should have told us all we needed to know. For many voters, that turned out to be enough.
Even after Scott Brown came out of nowhere to make a stunning upset election victory, there were still some cute political tricks that could have been pulled to save the health care bill. But enough Democrats saw the handwriting on the wall that they were not going to risk their own re-election to save this bill that Barack Obama has been hell-bent to pass, even when polls showed repeatedly that the public didn't want it.
President Obama's desire to do something "historic" by succeeding, where previous presidents had failed, was perfectly consistent for a man consumed with his own ego satisfaction, rather than the welfare of the country or even of his own political party.
As for the public, it doesn't matter if your Congressman answers your letter with a form letter, or doesn't answer at all. What matters is that you let him know what you are for or against and, when enough people do that-- whether in letters, in polls or in an election, politicians get the message, because they know their jobs depend on it.
As for what is likely to happen to health care, neither the bill passed by the House of Representatives nor the Senate bill can be expected to be enacted into law. Meanwhile, Obama's reaction to his political setback has been to respond rhetorically and to call on the political operatives who helped engineer his successful election campaign in 2008. But the public did not know him then, and his rhetoric may not fool them again, now that they do.