And it’s really not the GOP that’s the problem.

House Democrats’ push on health care legislation hit a snag Thursday when a group of fiscally conservative Democrats, known as "Blue Dogs," put on the brakes, pressing the Democratic leadership for significant changes to the draft bill.

As the Democratic leaders worked feverishly to finalize details of the legislation for a planned Friday rollout, the Blue Dog Coalition sent a letter late Thursday night saying the bill "lacks a number of elements essential to preserving what works and fixing what is broken."

Pelosi repeated her pledge earlier Thursday that a government run health care plan would be included in the House bill. Ross said conservative Democrats have major reservations about how a public option would work. In the letter and in the meeting, the conservative Democrats stressed they did not want a "Medicare-like" structure for a public option.