It seems our Congressman are cowards, they don't want their names to show on the vote for this Health Care Trash, so it seems that according to the Wall Street Journal article Quoted here in part. Source The Patriot Post: Voice of Essential Liberty - http://patriotpost.us/

"This two-votes-in-one gambit is a brazen affront to the plain language of the Constitution, which is intended to require democratic accountability. Article 1, Section 7 of the Constitution says that in order for a 'Bill' to 'become a Law,' it 'shall have passed the House of Representatives and the Senate.' This is why the House and Senate typically have a conference committee to work out differences in what each body passes. ... If Congress can now decide that the House can vote for one bill and the Senate can vote for another, and the final result can be some arbitrary hybrid, then we have abandoned one of [James] Madison's core checks and balances." --The Wall Street Journal.

Tell your Congressman that we want a Vote not this slight of hand Legislation Process.