The problem is that there's been complete surrender to neo-liberalism. The only possible way to use government to achieve liberal ends is through conservative means. It isn't clear why, as it's been pretty obvious for awhile that Republicans won't actually support conservative plans they claim to support. Still that's what we do.
So, yes, if the neo-liberal features of Obamacare are the sources of failures someone needs to point that out. I'm just not sure either political party will be doing that.