In the case of Obamacare (simply a pretext I believe for eventual Single-Payer), there was no real Humanitarian OR fiscal need for a program of that scope, especially where much more reasonable, Conservative proposals i.e. to tie pre-tax dollars to Health Savings Accounts are routinely cast aside by the "Party of the Little Guy".
It was a scam from the get-go, a plan to take over 20% of the US economy. It had nothing to do with providing insurance for the uninsured and their numbers haven’t changed. All that happened was a lot of people who did have insurance had their policies cancelled and the new ones they can get cost twice as much and then some.
A+++ Hopefully, the end is here soon and we can really have Heaven on earth.