Although ACA did get diluted, I don't think it's accurate to say ACA "didn't even slightly move the needle." Millions of people got health insurance coverage who didn't have it before. That's far from nothing. Gay marriage was federally legalized thanks to Obama's 2 Supreme Court picks.
Obama was far from perfect, but his administration still has accomplishments to be proud of.
They 'got' to be required to pay into subsidized private healthcare which covered barely anything at all. Even less after the fines for not enrolling were removed.
If the goal were being able to get people on board with government subsidized minimalist private healthcare insurance, then sure, yay us. But that was a Romneycare goal. The net result of ACA was there was, especially after it's funding was gutted, US government subsidized awful insurance people had to take for lack of actually good healthcare coverage.
That's what I mean by barely moving the needle. Giving a band-aid to a hemmhorage and paying private health grifters for the pleasure. It's an extremely pro corporate lobby way to go about healthcare and I resented the attempt over better measures we could have done if we were less concerned with getting conservatives to play nice with us.
While gay marriage bans being struck down federally
was a historic achievement, it wasn't surprising given the public favor and large amounts of states already abolishing DOMA. It was hardly a bold move, even if it was a move, I'll give them that.
However, the bans on most state and federal records were penned by democrats reaching across the isle to appeal to conservative family values.
If Obergefell v Hodge is, in the future, struck down like Rowe vs Wade, the instant state bans on gay marriage would be because of Clinton's bill.