Strawman. ACA added half of those people to the Medicaid roles at 160% over the poverty level without much mechanism to PAY for it other than allowing insurers to gouge the working middle class who pays for their own- and everyone else's while others choose not to make insurance a priority. Half were already qualified and would not lose it. The self-employed and those they employ were hit hard. ACA also included regulatory nonsense that took away the ability to buy and sell student loans (our next big bubble) and enforcement requirements for business to report all their vendors for taxation- a big burden. I have no problem with fair taxation as long as EVERYONE has skin in the game. This is why single-payer will never work here- no Dem and few Repubs would be willing to institute the VAT (Value Added Tax) and limit malpractice compensation here, the way countries pay for it. Repubs erred removing the penalty/tax without a way to pay for that, too. COSTS. Now THERE'S an idea.