Ultimately to get the votes for Obamacare they agreed on a mandate that required people to have health insurance, but part of the negotiation was there could be no public option and they would have to purchase from a private insurance company but the insurance companies could not have exceptions for pre-existing conditions and could not have a maximum lifetime payout. That last sentence is what made it all worth it. And while there were people hostile to LGBTQ people, it was not like it is now. I find it amazing that everytime I come with receipts you just claim that I have nothing, but have offered zero counterpoints.