It's not "mean nasty republicans"  the rightist propaganda says those with other than short sighted money interest and selfish gains thinks.  Bottom line- big business (Trump included most of all) has -PROFIT above all else- as the main agenda.  This creates problems.  Obama was not without ties to a greedy corporate world, but his goals and what he did accomplish helped many people and the environment for the long term.  Economically the country is a lot better off then 8 years ago, there is still a LONG journey that no one could have traveled in 8 years.  Health care needed reform, he tried and thanks to the republicans who did nothing to help it work, it didn't perform up to expectations.  Health care for all should be affordable, but that will not happen through privatization.  Obama didn't do as much as he could have, but he did slow down the devastation we are likely to see now attempted by the greedy exploiters.