For example, the 2001 tax cuts by Bush were passed with support of 28 Democrats in the House and 12 Democrats in the Senate. I think most people would agree that this was the # 1 priority for the Bush. Now compare this with the ACA, which is basically a Republican idea. How many Republican proposed amendments were allowed in the bill? I believe it was a good amount, yet how many Republicans voted for the bill? Not only did they not vote for it, they demonized and lied about the bill so much that even Democrats in moderate areas were scared to vote for it. With the numbers they had in the house and senate, they should have been able to pass a public option, but instead they barely were able to get a watered down Republican idea passed.