For me and many others, the ACA was a republican plan (Romney care anyone?) that went right on compromises that were thought to help get at least some republicans on board (it didn't) while punching left and killing a public option. Or did I mischaracterize?
But yeah, still paying the most while getting the least over all the other developed countries. 50 Million still uninsured. Lots of tasty means testing with varying levels of assistance for varying classes which would never promote resentments and racial tension.
No wonder Medicare 4 All is so unpopular. The very idea of NOT having Dunkin Donuts and Lockheed running our health care industrial sector is cray.