Actually, we can pay for it since the ACA was fully funded within the legislation. You must be thinking of the PREVIOUS previous WHY administration's increased Medicare entitlement, the prescription plan Part D, which W and the Rs pushed through with ZERO funding -- completely on the grandkids' credit cards. It's funny, you know, how Republicans keep criticizing Democrats as "Tax and Spend." It's never occurred to them that this means balanced budget? Taxing for what you spend is the way to go.

But Republicans? No, they're "Spend and Spend" but don't tax, which is why the national debt stands at $20 trillion.