1- No, Obama did not give Pelosi such a responsibility --- however, the Constitution did
2- But Yes -- Republicans WERE consulted and have been included in the process despite their failure to do anything but obstruct the workings of govt - all the pulling away from the matter has been by Republicans themselves
3- No, Obama is to the right of where the majority of Americans sit - of course, there are a number of reactionary lap dogs who make such pronouncements as yours without any basis- without any support - without any connection to the real world
4- it is not dictatorial to note ALL humans sometimes need medical attention - and every other developed nation in the world recognizes a govt responsibility in the area of health
5- your spiel about, 'dictatorial states,' is just so much pathetic pap