They used all their political capital in 2009-2011 to get ACA passed. They then quickly lost control of the house in 2011.
You know the answer to 2021 - 2023
. They controlled the Senate, but barely, and thanks to Manchin and KS, not really. They couldn't get Manchin to agree to kill the filibuster to enshrine women's rights. But, you could ask the same thing about immigration and Republican control. Look at all the times the GQP has been in control since Reagan. 2001-2003, 2003, 2005, 2005-2007 (they even had a bi-partisan plan and sunk it), and 2017-2019.
I mean, the Democrats couldn't even get enough votes in the Senate to get IVF over the hump or the right to birth control. Really think they were going to get a woman's right to bodily autonomy over the hump? Now you have women in states like Texas dying due to lack of timely medical care. While @immamac is droning on about greed, women are losing their lives.
If you really want to talk about the two underlying, problems, greed is one (greed for money and power), and the other is people seeing others who are not like them (religion, race, sex, etc..) as other and beneath them is the other. And Evangelical Christians do both of those really fucking well.