Since I'm not a leftist that lives in a fantasy-land and because I think that the bill does a lot of good things, I support it.
You're right, you don't live in any developed nation other than the U.S. (or as you call it, "fantasy-land"). I'm glad to hear you're not a "leftist", like the Tories, Aussie Liberals, Canadian Conservatives, CDU, etc etc. Those Che-tshirt wearing bra burning Trotskyite pinkos are so far out there...
The idea that we could pass anything like single-payer in one go in this country is a fantasy. Now, the system that the Democrats
did pass, puts us on the track to transition our healthcare system into something like Germany or the Netherland's, which would be a fine one. But it won't happen over-night or in a single bill.
I would love if our country was normal, like the rest of the Western developed world, where our Democratic party represented the center-right, we had some sort of sensible center-left social democrat/labor party, and the Republicans were a fringe party that got 10% of the vote if they're lucky. But we're not.