Information travels too fast these days to maintain that kind of charade when you’re actively working against against your own base. Rahm thought that you could fool all of the people this time, that in the end they could package a “goody bag” and Obama could sell it to his supporters and call it health care reform — even though he had campaigned against the very back room deal making with PhRMA and other stakeholders that formed the underpinnings of the health care bill. When insurance stocks soared, people understood. When the PhRMA deal leaked out, they got it.