@ Tita Girl

I agree with your assessment.  There will need to be a coalition between moderates in both parties to improve upon or modify ACA.  Total repeal is a forgone conclusion.  The extremist Tea Party in the republican party are not a group that will entertain a move to the middle.  The question is whether anyone in the republican leadership can build that coalition between the moderates in the republican and democrat camps.  I honestly don't see Trump as a leader to do this.  He is too much the party of "me".  I hope I'm wrong.