The ACA originated from ideas developed by both R's and D's. It is not single payer and has market-driven aspects that R's supported. It can certainly be improved, and one thing that Congress has learned is that the vast majority of Americans support having health care - very few advocate going back to the levels of uninsurance we saw previously that were inhumane and way too costly. As sensible R's and D's are now saying, it's time to collaborate on a solution to the flaws and accept the fact that medical coverage is important to most Americans. The centers of both parties need to set aside blind No's of their fringe, get themselves in a room, and work this out. It would also be nice if we had a president who could actually say something smart about this (or any other) policy matter, but our congressional leaders are quickly realizing that we shouldn't hold our breath. It's time for Congress to step up and fill this policy void.