The ACA isn't perfect, but it's better than what we had before, considering it was drafted with the huge limitations placed upon it by Republicans and the insurance industry. Covering millions of people who were previously without healthcare, and ensuring coverage of pre-existing conditions are imperative. I see it as baby steps towards a better system. The Republicans have no replacement because the ACA was originally theirs! This is a matter of life or death for tens of millions of Americans. You are not performing your duty to your constituents if you vote to repeal.