Health care reform is popular, expanding Medicare for dental and vision has 69% Republicans support, so does capping prescription drug prices and both of those have 75% support overall. Even more “out there” ideas like Medicare for all and eliminating medical debt have 62% support overall. It would be even higher if democrats actually campaigned on it and explained the benefits better. Health care reform is popular among people, it’s just not popular among the pharmaceutical and insurance companies that are giving millions to both sides.
If you let the sauce simmer for long enough, 4-5 hours, or pressure cook it the starches of the tomatoes will break down and you won’t need to add sugar. The acidity will also go down the longer it’s simmered too.