Y'know...in 2008 Democrats had control. Affordable healthcare was the goal they set. They tried, good god how they tried, to bring some Republicans into the deal to make it a bi-partisan effort.
Republicans hijacked it, called it socialism, took the house in 2010 and Congress has been gridlocked since then.
If the ACA had worked the way it was written and intended it would have been a massive success. It got hobbled when the red states boycotted the Medicaid part of it...Hell it's a success anyway and once we dump Trump we can get back to work on getting people insured.
Good coffee, good weed, and time on my hands...