First of all, the vast majority of Americans like their health insurance [1]. There were talks of a public option but it would be political suicide for anyone in a swing state to support "government death panels." Indeed even the moderate ACA caused Democrats to suffer one of the worst Congressional losses in history [2].
[1] https://www.nytimes.com/2024/12/13/us/elections/health-insur...
[2] https://en.m.wikipedia.org/wiki/2010_United_States_elections