Carter ran as an outsider, and his problem as President is that he was an outsider, alienating his own party, making him largely ineffectively, and leaving him with no base of support anywhere.
Democrats could have passed universal health care when they had a filibuster-proof super-majority near the beginning of the Obama administration, but Obama himself was kind of an outsider and quite a political novice, having served less than one term as Senator. It's a joke to call it "Obamacare", because Harry Reid and Nancy Pelosi did practically all of the negotiating and heavy lifting, while Obama himself was mostly MIA during the debate. (Not to mention, the Obama administration completely botched the ACA rollout.) And the Democrats bent over backwards to water down the proposals to get Republican votes, but they ended up getting precisely zero Republican votes anyway, despite the fact that their bill was basically Romneycare.