It's the "foot in the door". I'm actually surprised they are trying to shove such a big foot in the door right now too. If they were smarter they'd do like all govt programs and start it off small and let it grow to gargantuan size and be forever expanding it and raising what's collected from us to pay for it.
?Congressional Democrats are using several budget gimmicks to disguise the cost of their health care overhaul, claiming the House and Senate bills would cost only (!) about $1 trillion over 10 years.