In 2009, Obama entered office with an unmistakable mandate and control of both houses of Congress — including a rare fillibuster-proof majority in the Senate — and the Democrats wasted it. They pushed through a stimulus package that barely offset the cuts in government spending at the state and municipal level, providing line-item veto power to a small rump of centrist Republican senators in exchange for bipartisan “cover.” And most of the rest of their “political capital” was spent on a Republican health care plan that the Republicans immediately demonized them for. Obama was determined that it be “deficit-neutral” over a ten-year period, and the conditions of its passage (using the reconciliation process, which was only necessary because of the Democratic majority’s foolish refusal to abolish the fillibuster) absolutely necessitated it.
This meant that most of its provisions wouldn’t even go into effect until four years later, so that the Democrats literally could not point to a single concrete benefit to a law that sounded… pretty bad. Yes, the Republicans exaggerated, as is their habit, but this was hyperbole that centered on an unavoidable truth about Obamacare: Americans would be forced by the government to give their money to some of the most hated and distrusted corporations on earth, whose continued profitability is taken as axiomatic under the terms of the health care reform law. Obamacare does a lot of good things other than that, and the insurance mandate has in fact decreased the number of uninsured — but the central premise of the law is one that is deeply offensive.