When Republican-led states balked at expanding Medicaid under the Affordable Care Act, President Barack Obama's administration tossed them a carrot — allowing several to charge monthly premiums to newly eligible enrollees.
Republicans pushed for the fees to give Medicaid recipients "skin in the game" — the idea they would value their coverage more — and to make the government program resemble employer-based insurance.
Good. Obama sold us out in many ways and, every time that another way becomes apparent, I'm always disappointed. Race made him unique and popular, with Dems, but he wasn't a big success (and obviously not just with Congressional issues). I hope his Library has more success with progressing national interests.
I think Obama often gave in too easily, and compromised too early in negotiations. Add in that republicans basically tried to block anything Obama wanted to do, and no, he was not a very effective president.
My biggest beef is that Obama took the public option out of the Affordable Care Act (Obamacare), even before negotiations with republicans started.