Shouldn't the focus of national health care be on making it affordable not claiming victory by the number of people covered?

A national service should be nationalised including medical training conditional upon serving in it. 

The goal would be both of course but how to do that has been the problem.

probably but theyre just going to do whatever they want anyways

I see no reasons for the Federal government to be  involved in the first place.  Health care is a consumer product the purchase of which should not be the business of the Federal government.  State insurance commissioners are very capable of oversight of their state's insurance industry.