Agreed: Her plans require at least a Democratic Senate and some arm-twisting in the House (both well within the realms of possibility). His plans require not only a Democratic Senate and House, but a very liberal Democratic Senate and House.

Don't forget, the ACA has no public option and kisses Big Pharma butt because of some Democrats who were very resistant to the bill. We have a number of fairly conservative Democrats in Congress. Even with a simple majority of Democrats, we can't pass things like raising top tax rates to 70%.