The ACA is what you get when you try to reform the health care system with the Republicans and your own Blue Dog Democrats fighting you every step of the way. Fact is, the ACA arose because the free market is a failure in providing health care to all by the very wealthiest Americans. The insurance companies are corporations, legally defined human beings whose only goal is to get as much money in premiums for their stockholders as possible, which generally means delivering as little in the way of health care as possible for those premiums.
That is, after all, how “pre-existing conditions” got to be a problem. Things were so much more profitable if you did not have to pay for health care for sick people.
The ACA does NOTHING to address the underlying problem of health care insurers feeding like vampires on Americans’ suffering, but it DOES alleviate some of the more EGREGIOUS problems caused by the failure of the marketplace. So, while I think the ACA is horrible for not dealing with the real problem, it’s better than what came before, which was rampant abuse by health insurers.
It’s just that I’m sure the health insurers are working hard right now to come up with new abuses. And with Citizens United giving corporations unlimited economic firepower, it’s gonna be even harder to fight them now.