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I'm not an American, but didn't Obama's administration make an enormous positive change to healthcare in the US via the ACA?
They did, and shit like that takes years to make happen thanks to how slow the government was intentionally set up to be.
But that's a convenient fact that is often left out.
No, it was very similar to a 1993 republican backed bill. It still left millions of people without care and did nothing to curb the actual cause of runaway medical costs in the US. Obama campaigned on getting affordable healthcare for all Americans then in classic Dem fashion intentionally fumbled the plan because the same wealthy donors that fund republicans also control the Dems.