As someone pointed out in the comments, it was pressure from the kill-the-bill lobby that moved the bill to the left, to the minimal amount that it was moved. So if he's saying we should all hail his legacy anti-corporate grumpiness and accept that he thought of it all first - or whatever his point is - I confess I'm struggling to see how that's relevant to the immediate health care issue in the US.
Suggesting that everyone should go all anarcho-syndicalist overnight is no less unrealistic as a counsel of perfection than suggesting the bill should be killed outright, surely.
And suggesting that a entirely parasitic industry can't be touched because it will cost jobs is a familiar right wing talking point. You'll have to ask him why he's using it, because I can't possibly explain it.
you are the media you consume.
Remember the context of the argument is that Moyers/Taibbi/Hamsher etc. are arguing that a health reform bill that improves lives of tens of millions should be discarded.