You mean because the Republicans refused to work proactively with the Democrats on our behalf instead of throwing roadblocks up on behalf of the insurance and pharmaceutical industries?

Those pieces of legislation you referred to were achieved because legislators on both sides of the aisle worked cooperatively with each other, versus what the GOP has done since the Clinton administration and their first attempt to shut the federal government down over their personal war with the Democratic administration. That behavior by GOP legislators and their blue-dog Democratic henchmen has only steadily increased, paralyzing our federal government in an attempts to serve the people equitably.