akenaton, It may be worthwhile to point out that pretty much all of us on this forum who support the ACA are well aware of the limitations that you point to. We know that the provisions are 80% Republican ideas which were put forth to save money in the long run. But in exchange for that we get limits on the amount the insurance companies can remove from the system as profits and millions of more poor people insured, which ironically will also save money in the long run.

It is not ideal by a long shot. But every President and every Congress from Nixon has tried to do this. That is 40 years of trying with basically nothing to show but Bush's unfunded drug boondoggle with the infamous "donut (doughnut if you prefer) hole."   

We now have something to build upon. We now have a start.