Three things
1. you agree with my policy
2. you have the capacity and ability to communicate the policy effectively
3. you or the people you hire can navigate the hell of government to implement that policy.
Trash him all you want, Rombamacare was among the most uncommunicatable undeliverable pieces of legislation there has ever been.
It is now law.
It is a serious reach to cite incompetence or inability when one considers being able to accomplish that with the considerable popular and legislative opposition it has/had.
To me it is an empirical fact demonstrating considerable ability. It is a hill many have tried to climb, all (less one) have fallen, and all (less one) have been completely crucified for their efforts.
That, IMO, waveduke should recognize as remarkable ability.
Seriously, the Big Dog and Hillary crashed hard in similar efforts with much easier opposition.
50 years from now folks are going to be writing books and essays on the marvel on how that guy pulled that off. It will, success of policy or not, be a lesson in tough hard executive perseverance.
Incompetence my ass.
One may hate the policy, but one must be impressed with the bloke who managed to pass it.