If the Kavanaugh vote showed us anything, it's that there is no such thing as a moderate Republican. Obama bent over backwards to get Republican support for the ACA despite it being modeled on Romney's healthcare plan he implemented in Massachusetts and very much like the plan Grasley, Dole, Gingrich, etc called for in the early 90s. And all they did was spend a year screwing around and adding amendments and still no support for a pretty conservative health plan for the nation. I'd say there could be no compromise in this nation until Mitch McConnell dies, but surely someone even worse would replace him with how far the right has become radicalized by the right wing media.