No, the ACA came about because there were red state dem’s who would not get on board with single payer. Because they knew that in the next election they would be voted out by angry voters. This was the dem’s way to get their vote so they could get something anything passed.
And look what happened to those red state dems in the next midterms. They were gone. They should have listened to the people who elected them and not the leftist.
