A 61 year old, married, living in Homer pays 2700/mo, two people, 7k deductible per person, Primera; premiums and deductible is 33,800/yr. And, pays federal income taxes so those at 400% get free and subsidized healthcare. There is nothing affordable for the average Americans under the ACA. And it doesn't get any better under Trumpcare, especially for Americans over 60, and those that qualify at 400%. 
But my point is, we have Trump because the ACA did nothing for the average American, who is paying for expanded Medicaid and subsidized healthcare for the working poor. We'll never hear Dermot talk about the 61 year old in Homer, and this is why Begich was booted out of office after one term, and why the republicans control Washington.