Other protesters gathered outside of McConnell's Kentucky home chanting death threats and advocating violence against the Senator. One protester asked for bystanders to stab McConnell in the heart. When videos of the protesters were posted on McConnell's Twitter feed by his staff, his account was temporarily suspended for the use of violent imagery. McConnell led efforts against President Barack Obama's health care reform, ensuring that no Republican senator supported Obama's 2009–2010 health care reform legislation. McConnell explained the reasoning behind withholding Republican support as, "It was absolutely critical that everybody be together because if the proponents of the bill were able to say it was bipartisan, it tended to convey to the public that this is O.K., they must have figured it out." McConnell voted against the Patient Protection and Affordable Care Act (commonly called ObamaCare or the Affordable Care Act) in December 2009, and he voted against the Health Care and Education Reconciliation Act of 2010. In 2014, McConnell repeated his call for the full repeal of Obamacare and said that Kentucky should be allowed to keep the state's health insurance exchange website, Kynect, or set up a similar system. McConnell is part of the group of 13 senators drafting the Senate version of the AHCA behind closed doors. The Senator refused over 15 patient advocacy organization's requests to meet with his congressional staff to discuss the legislation. This included groups like the American Heart Association, March of Dimes, American Lung Association. and the American Diabetes Association. In 2015, both houses of Congress passed a bill to repeal the Affordable Care Act. It was vetoed by President Obama in January 2016. After President Trump took office in January 2017, Senate Republicans, under McConnell's leadership, began to work on a plan to repeal and replace the Affordable Care Act. They faced opposition from both Democrats and moderate Republicans, who claimed that the bill would leave too many people uninsured, and more conservative Republicans, who protested that the bill kept too many of the ACA's regulation and spending increases, and was thus not a full repeal. Numerous attempts at repeal failed. On June 27, after a meeting with President Trump at the White House, McConnell signaled improvements for the repeal and replacement: "We're not quite there. But I think we've got a really good chance of getting there. It'll just take us a little bit longer." During a Rotary Club lunch on July 6, McConnell said, "If my side is unable to agree on an adequate replacement, then some kind of action with regard to the private health insurance market must occur." In October 2018, after the Trump administration joined Texas leaders and 19 other Republican state attorneys general in a lawsuit seeking to overturn the ACA, McConnell said it was no secret Republicans preferred to reboot their efforts in repealing the ACA and that he did not "fault the administration for trying to give us an opportunity to do this differently and to go in a different direction."