OK, the ACA is a good idea, but, like anything our government does, to get it passed too many people add their recepie and the stew ends up tasting like krap. The biggest problem with the ACA, IMHO, is after loud complaints our American industry moved on to figure out how to turn it to their advantage. Next will be the reality that if the projected income you put on your application is lower than your actual income the charge back can break you and the IRS will be the bill collector. Finally, whether or not there is an ACA, all the costs accrued for medical bills for people that can't/don't pay is still covered by the paying public, thru taxes or increased insurance rates to those that can afford. I am not a D or an R (used to be) but now an Indy. Or, an R with a conscious.
As an example, back in 2012 I had a difference of opinion with upper management and was put on sick leave. Yup, they said they were sick of me an I should leave! Than had a medical problem and a hospital bill that almost gave me a real Heart Attack. I called them, discussed my lack of income and the state of MD covered me with the help of MD taxpayers. I have NEVER needed or asked for help, but, that taught me to stop assuming everyone that got/needed help was lazy or scamming the system. That is when I became an I.