I can't blame you for your skepticism Montana because that is so true about last minute changes it does happen so so often.
But Obama has put himself on the line on this one and he does have a fairly decent record as far as I am concerned as explained below of following thru with most of his promises.
And he has said specifically that the eight consumer protections that are expressly stated in the bill will remain in the bill even though insurance companies are fighting it so hard and paying over 30,000 daily to lobby against these eight protections. If the bill passes Congress these protections must be in there or no signing was what he said.
He has kept 34 promises so far, compromised on 11, 7 promises have been marked as broken of which one of them SB and I have argued about repeatedly because you can now veiw legislation five days and even longer before he signs, but SB considers it a broken promise because he passed the Schipp legislation without the five day viewing, but I argue that he never claimed that he would be able to set up the viewing the very first day only that it would be done, and it is now done. So regardless of Politifact and SB I don't consider that one broken , I consider it kept because he did NOT set a timeline of the very first day.. Some other promises well they will be broken only if he doesn't get them passed before his term ends because like with the first he did NOT specify a timeline.
There are two promises that I would definitely consider broken and one is on removing penalties on withdrawing from 401 K's for 2009 for people that were hard hit by the economic downturn. And I consider he waffled a whole lot on his transparency promises and lobbyist policies but I do give him credit to some extent because he has done better and made some improvements more than past presidents have done, so on these I will give him credit for some effort and some accomplishment, just not so much credit for accomplishing and following thru with as much as he promised.
I do think he was naive in thinking he could change the way Congress functions with lobbyists and all because no one person will ever be able to do that, and I doubt the people will ever be able to come together enough to do it either. I figure we are stuck with this process in congress as much as I hate it and as bad as I think it is for us, we are stuck with it forever I fear.