"Health care votes in play in the House" has a good deal of overlap with "People who are at risk of losing their Congressional seats this year". For these reasons, it's going to always be like that. And if people are at risk of losing their seats, they're going to have some thoughts about what they'll be doing next year.
I wonder how this is affecting their votes. On one hand you have the incentives the pro-reform side can offer, like positions somewhere in the Administration. On the other hand you have the things that major corporations on the anti-reform side can offer, like hundreds of thousands of dollars annually in bribes, to be paid after retirement. (The more polite term for this is a 'lobbying job'.) I don't know a lot about this stuff, so I'm curious about how this dynamic is playing out.