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I listened to a Tulsi Gabbard interview, and she said that was one of the reasons Obamacare seems half-assed. She said that the Democrats and Republicans both had opportunities to make compromises that would have benefited everyone, but they decided not to work together because it gives both parties something simple to argue about during election season. Democrats get to say "Obamacare sucks because Republicans are holding it back", and Republicans get to say "Obamacare is another big government program that doesn't even do what they said it would". Both parties are right, and both parties have no desire to fix it.