Again, this partial and out of context quote. She was telling an audience of people in local government that even though there had been a lot of controversy around the ACA, once people began to see how it improved care and covered more people, they’d like it. That’s even clearer when you look at the rest of Pelosi’s speech, which actually detailed some of the key features of the ACA — rather difficult to do if she didn’t know what was in it.