Regon was a conservative and would likely have held his debts closer. But his spending minded Congress just would not hold back for common sense.
Obama was, and is, for spending and no worry about the debt. He had full Senate support for all but this last two years and his money spending leader of the Senate, Reid, would neither read nor vote on the conservative House offerings. Obama's first two years was complete far left control of the Congress and that is when this high cost medical system was prepared and pushed onto the world. It is said not all of the medical system is yet going and when it does the costs will definitely go up some more. So we have not seen the end of the Obama spending for another 10 years or so.