I would say that the answer is true. This is because politics works primarily off of conflict. If there were no differing ends and arguments about who should govern, there would be a tremendous lacking of conflict and there would be no real innovation or compromise if every person has the same political views and ideas. Therefore, I conclude that politics does indeed exist in part due to the differing ideologies that people represent and believe in.
This situation surrounding the "Patient Protection and Affordable Care Act" is somewhat similar to situation caused during Federalists v. Anti-Federalists debate.