"The bill approved by Sen. Christopher Dodd’s Health, Education, Labor and Pensions committee, for instance, included 161 amendments authored by Republicans. Only 49 Republican amendments were rejected out of 210 considered.  Yet the bill got zero Republican votes when it passed out of the committee."  Obama even had the Public Option removed from the vote so as to garner more Red State Dem and Republican support but Republicans still refused to support it. Had something to do with the oath that GOP leaders swore on inauguration night 2009 to do everything they could to obstruct an Obama presidency so that he would become a one term president. Party over country over and over and over again for the past eight years as Congressional approval slumps to all time lows for doing nothing. On the national or state level it's the same story since Republicans have taken control of the legislatures and it is not sitting well with the voters.