The ACA was based on the Mass. health care program.  It was hardly invented by Reid and Pelosi.  It was the result of the Obama administration's realization that a single-payer plan would be very difficult to achieve.  It was a compromise based on RomneyCare.  Of course, the Republicans didn't vote for it....After openly dedicating themselves to oppose everything Obama proposed, they could hardly support the ACA, regardless of how good a plan it might be.