Not a single republican voted for Obamacare. The dems could of passed single payer if they wanted to. But just like the reps can't get their act together, it isn't easy to do. That is a good thing imo. Slows down the process but in the long run I think it is better. . The best part about Obamacare is it has brought healthcare to the forefront of issues we need to do something about. Overall, that is a good thing.