After a year of heated national debate and decades of failed attempts to achieve universal health coverage, it was all coming down to one moment in the US House. The Democrats needed every vote they could get.
Smart money said the Massachusetts delegation was a lock. All 10 members had supported an earlier version that narrowly passed the House. They hailed from the same state that had crafted the landmark law which provided the template for health care reform, the home of the late senator Edward M. Kennedy, who made universal coverage his life’s cause.

Comments
So the guy decided not to follow lock step with "we need to pass it to see what's in it" Pelosi and actually read it, study it then study the amendments before he made a decision. That's a bad thing?
you can't be against the public option and then use its absense as your reason to vote against the bill. That's a bad thing.
In Massachusetts, it's a bad thing to not follow in lockstep with you union or your party.
No legislation is perfect, but for the greater goal, Lynch should have supported it . . . and found ways to bring revisions/improvements later. All other things being equal, this makes me lean toward Markey. To me and my family, health care availability is incredibly important. IMHO, it's the backbone of a successful society.