Oh I think I understand the source of the confusion: you think that whoever is in the White House makes the decisions, I don't. I know: "ooh conspiracy theory blaba!" yeah. The thing is I think people who've been in place for 20/30 years in core power positions actually have more power than people who are elected and replaced every 4 to 5 years.

ACA didn't happen because of Obama for example.

Extraordinary claims require extraordinary evidence.