The ACA certainly wasn't perfect, with premiums rising to unaffordable levels. However, it wasn't all bad. It changed things so that people with pre-existing conditions could be covered, and young people could be covered until age 26. It scares me when it's been suggested to dump the entire ACA without a replacement. Really? You would be willing to have millions of American citizens have no insurance? In regards to a replacement...it's got to be something that MIDDLE AMERICA can afford, and which is going to actually cover something. A policy which essentially provides only catastrophic coverage is really worth nothing. People still won't be able to afford their medications and get the care they need. I fear for my children. My 32-year-old son has Lupus. Even with commercial insurance, his medications cost $300/month...which for him is nearly unaffordable. Why is the cost of medical care and medications escalating out of control and becoming unreachable for hard-working middle class American? In the near future will quality healthcare be available ONLY to the wealthy? Is that what we want for this country? Maybe we need to put more effort into figuring out why healthcare costs are so high in the first place.