The problems caused by the current exchanges can be fixed. That is not the issue. The issues are Republicans refusal to adapt and adjust to the differing needs of different states with supportive funding of the ACA along with the President's stated objective of allowing the ACA to fail. (That stated objective - allow/cause the ACA to fail is also a problem in its own right....here is a President refusing to enforce the law. Currently the ACA is the law.) But as a human and an American citizen - and wealthy enough to benefit from the tax cuts of the horrible Senate version of the also horrible House bill - I have a deeper concern. I read through some of these comments, the people who state it's not "their responsibility" to provide anything for people with faulty genes or "unhealthy" life choices - as though every catastrophic health event with bankruptcy potential is the sole result of either "faulty genes" or "unhealthy life choices." I wonder have they never met a person handicapped since birth because of a traumatic birth that is NO ONE's fault or "choice?" Have they never cared for an elderly relative - a failing loved one who was responsible their entire adult life, but who has outlived a carefully saved retirement nest egg? Have they never met a woman in her 30's, a young mother holding the job that provides husband/self/and child with health insurance - who is suddenly diagnosed with breast cancer requiring over 10 months of surgery and treatment - and finds at the end her company was not able to "hold" her job that long, and the new job offering from them is unfortunately half-time and does not come with company benefits? Do they have no relatives - hardworking, responsible - who because of divorce find a moderate household income cut by 2/3's yet individual expenses increased beyond that because of separate housing/insurance/new daycare arrangements? Are these people who are questioning the "why" of government facilitated health insurance completely uncivilized? Because that is what CIVILIZED societies DO! They care for each other, they care for the less fortunate, they care for the ill and the impoverished. In some societies of the past, with no centralized care and support systems in place, they took the feeble/disabled/ill and put them out. On ice floes. On mountain tops. They did nothing for the perpetual poor - hence the slums of Mumbai for example. In Nazi Germany they just went ahead and killed the feeble, mentally ill, "retarded." In Nazi Germany they manufactured reasons to gather up the "unproductive" or "socially unfit" into labor camps. Is that America? Is that what the Republican "mandate" is after? A society that says "fend for yourself" or we'll "fend you out of here" by making sure you die young for lack of preventative care, for lack of affordable treatment. I'm 61. I'm appalled. Here's a newsflash for the stingy and cold of heart. There are MILLIONS of people like me. People so grateful for the GOOD LUCK that came our way that allowed financial success; people so aware that there are millions of others just as responsible and hardworking but for whom the luck broke the other way - never in their favor. I LOVE paying taxes - for public schools, for housing assistance, for job training and re-training, for parenting coaching, for special ED, for compassionate outreach like Meals on Wheels to the home-bound - and YES! Most importantly! For equal, fair, affordable healthcare for every single American citizen regardless of their income. For shame that there are those among us who are so harsh and so judgmental that they would see the wealthiest Americans rewarded at the expense of the most needy in search of the most basic of needs. You folks? You are NOT the type who truly will MAGA. But people like me? We'll GRAB your damn slogan and we will RUN with it.