"...silent millions that are suffering without basic health care. "  I believe a large contingent of these enrolled in ACA are being covered by Medicaid (no premium payout) and perhaps welfare entitlements.  I presume that most (with a few exceptions) understand that these temporary entitlements are used as a pathway to get off of same and not meant as a lifestyle.  However, I support Medicare and welfare entitlements be made available for those who have no other means of support.