First, you should put this in air quotes: “a major healthcare reform”. It’s only a reform if you the consumer can absorb the price gouging required to access our health care system in the first place.
Secondly, Obama had a supermajority for a time. He could have done anything if he’d have been willing to do the work.
Americans can’t eat excuses, and for me at least, it’s no longer acceptable to simply be slightly less conservative than the other conservatives.