The affordable care act is republican healthcare reform. It was modeled on the program put in place by Republican governor mitt Romney in Massachusetts. Stop using Americans healthcare as a political wedge to motivate your base and start working in a bipartisan manner to improve the American healthcare system. The underlying economic principle behind the concept of insurance is that a large group of on average healthy people pay for the care needed by the sick. Shame on those who do not want to pay their fair share for the benefits of this great country.