While the ACA was trash if you go back and look, R’s took a ton of the good stuff out, like the public option or whatever. If Obama wanted to be remembered for more than being the first black president, he should have used the supermajority he had the first 2yrs in office and created universal healthcare and not used Mitt Romney’s plan and got the troops out of the Middle East.
I’m not sure the exact things R’s changed in the ACA, it’s not hard to research I just don’t have the time. But that definitely seems like something R’s would force to be put in.