The ACA was never implemented properly because the conserves and their friends in the related industries weren't making enough money from the plans.  Sorry conserves and repubes  care only for themselves and not for the people of the United States.  That is the same reason they want to install DeVos  as school czar, charter schools are profit centers...she could careless of the children learn.  It's all oligarchs making money and keeping the average guy in his place.