You're just wrong. Just because no republicans voted for it doesn't mean that enormous compromise was necessary to get certain independents and conservative democrats to vote for it, which is exactly what happened. The entire legislative approach to the ACA was to get a 60 vote filibuster-proof majority in the Senate (and subsequently to prevent the bill from returning to the Senate because of changes made by the House), in a Senate that only had 58 democrats.
Remind us who tanked the public option in the ACA?
Hint: he was Al Gore’s running mate a decade prior. And he was never a republican.