McCain’s healthcare fantasy goes like this: Both the Democrats and Republicans are refusing to work across the aisle. If only they would approach each other and be willing to compromise, the Senate would be able to actually govern.
Misapprehension #1: The Democrats are unwilling to work with Republicans.
See: Obama’s open process for ACA passage.
Misapprehension #2: A compromise is possible between those who want NO healthcare and those who want healthcare.
See: CBO says that Republicans’ plans are unworkable.
As long as such fantasies are sold to the country, the real reason for disfunction is not understood and talked about.