As much as you may hate"big government",progress requires government to exercise some influence over corporations. Insurance companies had denied health care to millions in the pursuit of ever larger profits. The preexisting condition loophole is eliminated via the ACA. Insurance companies must spend a set percentage of income on direct healthcare,,thanks to the ACA. Every citizen must have evidence of insurance,eliminating the emergency room as a healthcare site for the poor. Preventative care is an ACA requirement which should slowly lower health care costs. Obama said"you can not solve the deficit problem,without first bending the health cost curve downward.