I guess we can't count ACA either

We're absolutely counting that. But we're counting what it actually is and not what you were told it was.

The ACA is a piece of Heritage Foundation written legislation whose purpose was twofold: vastly increase private health insurance profits, and completely kill any momentum for passing anything actually progressive on healthcare. Given that we still have medical bankruptcies and that the years after the full ACA implementation contained a period where absolutely every private insurer posted five consecutive quarters of record profits, it appears to have succeeded admirably. In exchange for that massive transfer of wealth from both the working class and the Treasury, we got: milquetoast pre-existing conditions coverage, and the college-age children of the donor class with their Cadillac employer sponsored plans for to stay on their parents awesome insurance through college until they could join the grift on their own.

We helped Obama sell the cow to Wall St for a handful of magic beans, and you want to pretend that isn't evidence of how far right the Dems have lurched?

Americans still can't afford to see a doctor. But now they pay a premium for the privilege of not being able to afford basic care.

https://www.independent.co.uk/us/money/us-medical-costs-doctors-health-insurance-b3026479.html

So we're definitely counting the ACA. But it's evidence for my point, not against it.