I and my fiancé both get our health insurance through the NY state exchange. Do not repeal the ACA. Too many people depend on it. You will be effectively pulling the rug out from under so many Americans. We get our health insurance off of the exchange because we are freelancers and the economy has been steadily moving towards a workforce heavy in temp and self employed workers. My parents are about to use the exchange for health insurance as well, partially because of finances and partially because their industries are also moving away from full time commitment to their employees. There are plenty of reforms and additions that can be made to the ACA to bring down the costs to the average consumer, but if you defund the program and repeal the law you aren't helping anyone but insurance companies.