I am not at all a fan of Pres. Obama or his "care" , but the  premise of " all" is ignorant and disrespectful to the wishes of the constituents in each legislator's district. Each elected official must listen to and act on beheld of the greatest public good for all the people in their district. So/any legislator is first responsible .

Sadly, I can tell you first hand that this does not seem to occur in the case of ours.