The last 8 years have seen healthcare reform finally pass
Reforms that were pretty shit, frankly
... the benefits have been pretty significant, OW, and quite a fair number of the provisions that's been involved were badly needed. Like, the ACA and related stuff gets shat on a
lot but great frothing chunks of that shit is basically (and sometimes literally) fabricated and it has really kinda' been seriously fucking helping on a lot of fronts vis a vis medical care in the US. You can make the argument that that's not exactly difficult considering the state of things before (I've mentioned before that literally beheading most upper management in the medical field would probably have helped too, ferex), but... still. US healthcare is definitely doing better now than it was expected to be doing at this point before the ACA went through. Long damn way to still go, but it's actually
going to an extent now.
You mean, of course, the part where, in spite of him pissing off most of the Republican party, to the point that there is an incredibly vocal block that flatly opposes him, he still manages to be equal to Hillary in the polls? Because that seems like one hell of an accomplishment here.
Barely managing to tread water (if that, because again, he's been
losing those polls pretty consistently so far as I've been able to tell, even if the margin is not particularly large) when you're getting gargantuan chunks of free publicity against someone that's been under the fire of a constant media assault for literally decades, while managing to basically cause the party you're ostensibly representing to implode
and get more of the constituency to vote
against you (and this the bloody republican party, who are almost freakishly party-line these days) than for at the same time is... not what I'd call an accomplishment. I mean, it's sorta' impressive, in a sense, but it's not a good sort of impressive.
Much like his business career, he probably would have been doing better at this point if he had just shut up and let things coast. Instead he's managing to take pretty much every bloody advantage under the sun and still come out behind. It's almost like a mirror clinton, really. She's got gigantic heaps of disadvantages and is still managing to come out at least on par, and generally ahead.