The ACA added only a small percent to the federal government's current direct control of national healthcare by far the biggest percents (Medicare, Medicaid and VA) pre-date the ACA by decades.

"...the GOP's planned destruction of government assisted/funded healthcare." Has the GOP mentioned cuts to Medicare or VA? The $80 billion annual reduction in Medicaid spending for ten years is a small percent of the $5.5 trillion that will still be spent on Medicaid over the next ten years.

This hardly represents "planned destruction." The federal government currently directly controls most US healthcare and will continue to do so in the future.