According to the North Carolina Institute of Medicine, there are 52 million Americans currently without health insurance. We are a country in crisis. If the government cannot respond by delivering a public plan with a President who campaigned on creating one, a 60 vote Democratic majority in the Senate, a Speaker of the House who has committed to doing so and majority support in both parties among the public, then we do not live in a representative democracy any more. The country is ungovernable.
This is not a representative democracy.