If Obama had really wanted health care for Americans, even in his dubiously claimed pragmatic and incremental fashion, why the hell didn't they just start opening up Medicare. That would have had almost instant effect. Lower the Medicare age 10 year every two years or so.
And next Congress could have started working on the problem with the cost of drugs.
But of course, Obama didn't really mean anything he said when he was running for President. [The following ADDED] And most of Congress didn't want to upset their corporate masters anymore than did Obama.
Wars and killing and torture (ever hear of Tasers as a means punishing Americans for even existing in view of the police) and handing the control of policy to corporate power is all American Presidents know.