ACA 2.0

[Silent3]

5. Even when Democrats just barely had nominal control of both houses...

...filibustering Republicans forced plenty of compromises in the ACA. Even then, in most cases, Republicans refused to vote for the bill itself, doing nothing more than allowing a vote to happen, even with their own compromises in it.

Do I think real, full Democratic control, without trying to reach the artificial 60 vote threshold in the Senate, would have produced Medicare for All, or anything else nearly so good?

No. But we would have at least gotten something much better than the ACA we had to settle for -- which never had much hope of being merely better than nothing at all.