Ruth Virchow - The ACA itself has been painful for Alaskans and it will continue to grow in agony with every new premium hike. We who pay taxes and are not eligible for subsidies under Obamacare face that reality everyday. It needs to be repealed before it bankrupts the middle class and then goes on to be the straw that broke the camel's back for the government welfare state. A health care policy that ignores basic economic principles is not something we should ever have pursued.