The river turtles collect the plastic straws and bring them downstream to the sea turtles. Basic nature stuff.

You’re arguing against well-known historical fact. You have a lot of emotional angst getting in the way of your judgment and understanding of nuance.

https://www.commonwealthfund.org/publications/newsletter-article/obama-shying-away-public-option-or-not

The original plan for ACA had a single-payer option.

The compromised ACA itself passed the house only by a couple votes. The party is not a monolith and had a number of moderates that opposed single-payer.

If I recall correctly, they didn’t have enough votes for single-payer and passed the compromise that they could get done .

If you know Chinese Mandarin, you would have a tough time understanding Taiwanese Mandarin.