I think complicity with a humanitarian crisis that gets repeatedly labeled as either genocide or ethnic cleansing is a kick in the nuts.
I think 128 Dem reps voting with Republicans to table impeachment proceedings against an authoritarian president is a kick in the nuts.
But more to your point, I think arguing for expanding healthcare within the context of a system of predatory insurance companies and for-profit healthcare facilities does little to actually fix what is wrong with healthcare. So yeah, kick in the nuts for sure.