Just imagine for a moment that conservatives believed that the federal government had a role in solving problems, and that once the ACA was fully in place they brought some fixes, improvements to the table, which became the law, and things got better. Imagine if there was a will to serve and help rather than prove a point. Imagine they were aware that if there were good things happening, social security, Medicare, well vetted refugees, safer streets, less crime, an improving economy, a well regulated/fair/level economic playing field, that their justification for conservatitism would be shown to be the bankrupt view it has always been...sort of like growing the economy so fast that deficits become surpluses. One Pres. did this by paying as you go, raising taxes moderately. And left with a surplus. Obama decreased the annual deficit by something like 70% after the conservative-caused Great Recession....so imagine meeting the real needs of Americans, health, economic growth, education.