I'm guessing you realize that President Obama's "signature" legacy, the ACA, is the result of compromise with the Republicans and is based on the Mass. "Romney Care" model.  Of course the GOP Senators and Congresspersons voted against it......after all, they had to show their opposition and that's all it was ...."a show."  If Obama had been focused on ignoring the GOP, he would have, instead, worked for a "single payer" system,