> ACA was the most radical package that could have passed And they only passed it by bypassing the fillibuster and using the budget reconciliation process. Bu

> ACA was the most radical package that could have passed And they only passed it by bypassing the fillibuster and using the budget reconciliation process. But arguably, if they were more aggressive and offered bigger benefits, they'd get more support. The GOP has been extremely aggressive, generally. People don't vote for those hesitant and afraid of conflict. > You know what we’d have with a few more Sinemas and Manchins in the party right now? A majority. True, and it's also true if the Dems had a few more Sanderses and Warrens - and then they'd have a solid majority rather than one that caved like Manchin. But they'd need a bunch more to pass a healthcare bill without reconciliation.