>Eg, Obamacare would probably have been described as dragging the US into the 21st century and getting somewhere close to what every other modern democracy has offered for decades.
Uhm, no. Obamacare is basically a Republican brainchild, mostly conceptualized by the Heritage Foundation in the late 1980s. I wouldn't describe it as dragging the US into the 21st century... more like dragging it barely into the 20th century.
>And yet it turned out not to, the rhetoric is still that US healthcare is pretty bad.
US Healthcare is pretty good. But also extremely expensive at the same time, with lots of people unable to afford it, even when they have health insurance thanks to huge co-payments. You keep hearing the stories of severely injured people screaming they do NOT want to go to the hospital because they cannot afford it, and of other people who are brought to the ER, then amass huge debt in a short time that bankrupts them, and then they end up dying very prematurely anyway because the actual life-saving treatment or surgery is something they couldn't afford before, and certainly cannot afford after seeing the initial ER bill.
Waiting a few months at worst for a hip replacement surgery in Germany seems fine compared to waiting for hip replacement surgery forever and never actually getting it in the US because you cannot afford it even though you worked two jobs your entire life. All the while the US spends 17% of their GDP on health care, bout 5% points more than most other western nations.
That's the state of affairs after Obamacare. And yet, Obamacare still made things better than before for a lot of people.