The Affordable Care Act was enacted out out of necessity to provide otherwise uninsurable people affordable health insurance and health care. Due to unscrupulous, greedy actions of health insurance companies for decades as well as the changing economic landscape of this country wherein people change jobs more often or work for small businesses that do not provide health insurance, having affordable options to purchase health insurance is essential. Medical costs in this country are out of control. It is not feasible for someone without insurance to pay for medical care. The ACA may not be perfect, but it is ridiculous that it should be repealed, whether replaced or not, rather than to fix an already existent system.