In short, they didn’t want to. The reality is they are all moderate republicans, which in itself is an oxymoron. Don’t believe me, here is Obama saying just that; m.youtube.com/watch?v=ZJIlZxHfclc Now imagine you somehow get total control of all braches, and to top it off 3 weeks filibuster proof. You can do anything, but you don’t really want change. What do you do? Well implement RomneyCare, call it ObamaCare and leave out the public option, which will ensure it be a giveaway to big pharma. Seems good at first glance, but leaving out the public option really killed it, as they intended.