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.
The ACA instituted more than private plans. It also expanded eligibility for Medicaid - a huge win for low income folks who previously didn't qualify. It forbade people from being denied coverage for preexisting conditions and allowed young people to remain on their parents' insurance till age 26. Again - those aren't nothing and are not just handouts to "big business" or something. Not perfect, certainly quite complicated - but a big deal. Which is why the Right hated it so much.
You might call gay marriage inevitable. Personally I don't think it is, particularly given the pushback we've seen even up to now.
That's not to mention pulling us out of the Great Recession, passage of Dodd-Frank, pulling us out of Iraq, etc. Again, while not perfect, he demonstrably moved the ball forward on a number of fronts.