ACA stays!! you've had 8 years to come up with something better and you don't even have an outline of a plan. You again forgot or never knew what it's like to work for a place that healthcare wasn't offered. Before the ACA I would have had to pay 600/m for just me; same plan on the marketplace was 150/m for me and my hub. This makes a huge difference to MILLIONS of people. Is it perfect no but you can't throw it out till you can replace it with something.