The ACA was meant to be a stepping stone for health insurance reform. You know regular checkups, mammograms, colonoscopies etc. most of all to insure people with pre existing conditions would be treated fairly. A first step to catching up with the civilized world. Look at the states like Kentucky and how well it is working. We need to get rid of gaining profit for people to be sick - you can go bankrupt if someone in your family gets really sick / this should not be happening in America in 2018!!!