The ACA is not a failed program nor is it bad policy - it is good policy for people to have access to health care. When premiums are wildly expensive, and coverage is simultaneously reduced - that is not improving access to health care nor controlling costs.  The GOP has done everything to sabotage it.  More people are insured than ever before.  Is it that you are motivated to dismantle it in order to give the massive tax breaks to the wealthy?  THAT is the motivating factor for Mr Trump and the GOP. According to the GOP - Let the poor, the elderly, the needy, those with pre-existing conditions etc get sick and die as long as the wealthy get a tax break and live in unimaginable luxury. It is a crock to believe that the rich are rich because they  work harder than everyone else.  They are advantaged because of their money and take more vacations than the rest of us.  No one works harder than the working poor and they deserve health care.