The ACA was a victory. Do we need better? Absolutley! However, I’m not sure if you remember healthcare before it. Remember “pre-existing conditions” or being charged for wellness checkup? Also, women paid significantly more for healthcare than men did. Balancing that back to equal was important.

Dad gave a me a toy so it is ok that he gets drunk and gives me the belt bulk. No wonder peasants can’t seem to see the picture

If you’re “all or nothing” you’ll get nothing. We could have had real change on Climate Change too if “cap and trade” was adopted, but someone just like you said it didn’t go far enough, and we got nothing instead.