I see the "evidence" differently. You say he could have "forced" it. I do not beleive he could have. There was enough opposition from both sides to block him. You seem to make a lot of assumptions about his power, when he actually did not have that much political capitol to spend.
Yes it is apparent that you see the evidence differently. Therefore I suggest we end this conversation.
I am fine with that.
Major groups in health care opposed any change in the health care for profit system. Not just Republicans. There were many people in my own not for profit group who identified as both moderates and Dems who did not want either single payer or the ACA.