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-- to make it less offensive to the Republicans and a handful of "moderate" Democrats so it stood a chance of actually becoming law. It didn't even pass in its original form due to a Republican led filibuster: the Bill's backers didn't have the votes to overcome it, so they had to make concessions. Unfortunately that's how Congress works.
The idea Democrats could have passed a bill for universal healthcare is absurd. Any serious attempt to pass it would have been shut down. The parties aren't homogeneous entities: they're made up of individuals with their own agendas.
I think you may be white washing what occurred at the time. Obama made concessions to appeal to Republicans but they weren't needed to pass the bill and none of them even voted for it in the end (apart from 1 House Republican). Democrats had a super majority at the time with 60 senate seats.
https://ballotpedia.org/Obamacare_overview