Liberal simps always like to bring up the fact that Democrats have almost never had a 60 vote majority in the Senate, saying that's why Dems can't do anything. Yet that never seems to be a barrier to Republicans. Can you imagine a Democratic president threatening to cut off healthcare dollars to hospitals that don't provide trans-affirming healthcare? The reason you can't is the problem with the Democratic party. Republicans are willing to use every scrap of authority they have. They find creative uses for using what procedural powers they have to accomplish incredible things with just the power of the executive branch. Democrats *removed* that they can't do anything unless they have 60 votes in the Senate. There's always some other excuse for why they can't get something done.