In case no one remembers, President Obama's original plan for US healthcare reform was a universal/single payer system similar to those offered in the rest of the developed (and much of the less developed!!) world. This plan, which would have reallocated the already massive amount of money the US spends on healthcare into actually ensuring that Americans have access to healthcare, was instead hobbled and warped by an intransigent republican congress until we ended up with the mess we have today. It is not perfect (or particularly simple), but it improved upon many fundamental areas. The biggest issue, as many have pointed out, is that forcing people to buy insurance (and some companies to provide it) has created some financial hardship. If we had gone single-payer, this would not have been an issue. The bottom line is that: Private insurance companies do not care about national health--they care about profits. Pharmaceutical companies do not care about national health--they care about profits. Private hospitals and medical treatment centers do not care about national health--they care about profits. The "free" market is not actually free, and it's inherently unjust to suggest that in a country like the US of such unparalleled wealth that only the rich should have access to quality healthcare. The only way to ensure access for all to quality healthcare is to switch to a single-payer system. Until then, leave the ACA in place, since it is the best alternative we have for the time being.