How do you take into account nuances. When President Obama was riding shotgun on the ACA passage he disregarded the opinions of the opposition with phrases like "No one has shown me any other alternatives," and "I won." When the ACA was finally passed, the opposition pointed out the flaws that are now occurring. Where in this entire process, even from the start was there any engagement.

I am actively asking what engagement programs or outreaches have been attempted. The only thing I can point to is the ever changing nature of our nation's acceptance of gays and lesbian marriage. Senator's Clinton and Obama both were against it until after the populace pointed out how much they were for it.

A thought experiment: Minimum wage. It is a horrible program that directly hurts the poor and downtrodden; it was first imposed by actual racists to keep blacks out of work[1], [2]. Now, based on its origination, is it a racist program to keep poor and downtrodden out of work or is it a racist program to eliminate the minimum wage? Who is the arbiter of this decision?

[1] "Colored labor is being sought to demoralize wage rates." American Federation of Labor President William Green

[2] https://en.wikipedia.org/wiki/Davis%E2%80%93Bacon_Act