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It was literally based on Mitt Romney's healthcare bill in Massachusetts. Unless you think the guy that ran on the Republican ticket AGAINST Obama wasn't a Republican.
Romney was indeed a Republican, but a moderate one. The Church of Latter Day Saints has always been a weird outlier in American politics, and as a Mormon Romney largely follows that tradition. Utah itself is a great reminder that the trends Americans see with the two-party system, where every issue is a binary choice with the GOP or DNC each picking an option, the reality on the ground is more complicated.
It's also worth looking to how Romney was the first senator in US history to vote to impeach his own party's president. He did it again the 2nd time Trump was impeached too, along with a handful of others.
That's not to say that I like Romney at all, or even that I like the ACA or even that I like the Democrats.But Romney is perhaps the furthest left Republican and created that initial bill with the intention of being a bipartisan compromise. He's far closer to Neoliberal than Nazi. And while it was the foundation, his bill was NOT the final bill that passed into law. The bill that did pass saw 100% of Republican senators vote against it. It passed 220-215 in the House with 1 meaningless Republican vote. To say it was a Republican bill is simply historically inaccurate.