The apathy is because we vote for their candidates and they turn around and screw us over. Obamacare was really well appreciated, but he didn't really get much else done,
It's also been a punch in the nuts to the middle class, which has seen health care costs skyrocket, as usual. Meanwhile, the rich get to opt out in one way or another, and the poor get some shitty, substandard health care and feel grateful for it. Since the middle class is at its smallest size since... what was that depressing thing called again? I guess that won't affect voting much. Meanwhile, it should galvanize the poor, who think they're getting a great deal when they get the equivalent of table scraps of the rich, but taken from the middle class.
When Obama took office, there were two problems with medical care in the US:
1. Access
2. Cost
He decided to tackle access, and has basically succeeded at that. He decided to ignore cost, and things have not gotten better.
I think this was actually probably the correct move. Once people have had access to medical care for a while, taking it away will be difficult, so it was essential that this be done early.
The cost problem will need to be solved, and it will continue to get worse until no matter how conservative you are as a politician you will need to help fix it.