Why would you consider it a failure? And don't forget that the stubbornness of Republicans is the reason the single payer part of the law was dropped, even thou

Why would you consider it a failure? And don't forget that the stubbornness of Republicans is the reason the single payer part of the law was dropped, even though that would have had a much larger effect on the cost of healthcare. Additionally, several Republican governors _refused_ federal money for Medicaid expansion, directly making healthcare less affordable for their constituents purely for the political optics of being able to say they stood up against "Obamacare".